Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 65175 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rem Implant Ocular
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 65175 |
| Medicaid Fee Schedule | View Medicaid rates for 65175 |
National average reimbursement for CPT 65175 by major payers:
$952.09
$885.36
$994.51
$1,187.36
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 65175.
CPT 65175
5 of 25 sample ratesHigher to lower in this preview
Community Endoscopy Center LLC
$7,825.00Published rateEndoscopy Center Of The Rockies LLC
$2,456.00Published rateOrthopaedic Surgery Center Of Illinois, LLC
Orthopaedic Surgery Center Of Illinois LLC
$1,787.00Published rateBay Surgery Centers, Clearway Surgery Center Of Kent Island
Bay Surgery Centers
$1,334.00Published rateVision Correction Center, LLC
Vision Correction Center LLC
$879.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 65175 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65175 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 65175 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 65150-CPT | Moderate | Replacement Of Eye Implant, Surgery To Reinsert An Artificial Eye. The Procedure May Include Grafts Or Reinforcing Material. |
| 65155-CPT | High | Reinsertion Of Ocular Implant, Reinsertion Of Ocular Implant With Use Of Foreignmaterial For Reinforcement Andor Attachment Of M Uscles To Implant |
| 65175-CPT | Moderate | Rem Implant Ocular |
| 65205-CPT | Low | Removal Of Foreign Body Exte, Removal Of Foreign Body External Eye Conjunctivalsuperficial Removal Of Foreign Body External Eye Conjunctival |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65175 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 65175) and we'll show you how you compare in 15 minutes or less.