Last updated: March 2026
How Much Does Vitrectomy Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Anterior Vitrectomy | $5,000 – $12,000 | $1,000 – $3,000 |
| Pars Plana Vitrectomy (standard) | $7,000 – $15,000 | $1,500 – $4,000 |
| Complex Vitrectomy with Membrane Peel | $10,000 – $20,000 | $2,000 – $5,000 |
CPT/ADA Code: 67036, 67040
What Affects the Cost
- Type of provider (optometrist vs. ophthalmologist)
- Retail chain vs. private practice
- Vision insurance vs. health insurance coverage
- Geographic location
- Technology and equipment used
- Whether the condition is routine or medical
Insurance Coverage
Typical coverage: Vitrectomy is a medically necessary procedure typically covered by health insurance for conditions like retinal detachment, macular holes, and vitreous hemorrhage.
Vision insurance (VSP, EyeMed) covers routine eye exams ($0-$30 copay) and provides allowances for glasses ($100-$200) or contacts ($100-$200) annually. Medical eye conditions (glaucoma, cataracts, infections) are covered by health insurance, not vision insurance. The ACA mandates pediatric vision coverage.
How to Save Money
- Walmart, Costco, and America's Best offer competitive pricing
- Online retailers (Zenni, EyeBuyDirect) save 50-80% on glasses
- Vision insurance plans start at $10-$15/month
- HSA/FSA funds can cover vision expenses tax-free
- Check for free eye care programs (EyeCare America, VISION USA)
- Buy frames at one place, lenses at another for best pricing
Related Procedures & Costs
Frequently Asked Questions
A vitrectomy removes the vitreous gel from the eye to treat conditions like retinal detachment, macular holes, floaters, or diabetic vitreous hemorrhage.
Recovery takes 4 to 6 weeks. If a gas bubble is placed, patients must maintain face-down positioning for 1 to 2 weeks.
Yes, vitrectomy is covered by health insurance when performed for medically necessary conditions. Out-of-pocket costs depend on your deductible and coinsurance.