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Optic Nerve Sheath Decompression

Utah rates for HCPCS 67570

This surgery relieves pressure around the optic nerve by making a small opening or slit in the membrane that surrounds it. It is used to protect vision when fluid pressure inside the skull is pushing on the nerve and threatening eyesight.

Rates data updated October 2026.

How much does Optic Nerve Sheath Decompression cost?

$5,805

Typical total for the visit. In Utah, October 2026.

Insurers have agreed to pay about $5,805 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $5,129 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$191 to $871
Facility feeThe hospital or surgery center$5,129$2,089 to $7,943

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,288 to $9,120Professionalmedian $676 · 10th to 90th $85 to $1,148
$100$200$500$1K$2K$5K$10Kfacility $5,129professional $676

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$4,570.88
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,445.44
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$645.65
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$7,762.47
Typical High
$11,220.18
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,659.59
Typical High
$1,819.70
Select Health
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$4,168.69
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$2,137.96
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,120.11
Median
$11,748.98
Typical High
$16,982.44

Where Utah sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Utah· 9th of 51

$5,805

$676 physician + $5,129 facility

AK $9,915DE $3,002

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.