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Optic Nerve Sheath Decompression

Virginia 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 July 2026.

How much does Optic Nerve Sheath Decompression cost?

$6,411

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $6,411 for this procedure. That total is two separate charges: $1,514 to the doctor who performs it, and $4,898 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,514$1,148 to $2,138
Facility feeThe hospital or surgery center$4,898$1,660 to $7,244

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,230 to $10,000Professionalmedian $1,514 · 10th to 90th $1,023 to $6,310
$1K$2K$5K$10Kfacility $4,898professional $1,514

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,370.32
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$2,511.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$3,548.13
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,344.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,548.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$2,290.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,290.87

Where Virginia sits

The same service costs 5.7 times more in Wyoming than in Maine. 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

Virginia· 25th of 50

$6,411

$1,514 physician + $4,898 facility

WY $15,188ME $2,660

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.