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 66030 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.
Injection Into Front Of Eye, Injection (Air Liquid Or Medication) Into The Front Portion Of The Eye (Space Between The Iris And The Cornea).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66030 |
| Medicaid Fee Schedule | View Medicaid rates for 66030 |
National average reimbursement for CPT 66030 by major payers:
$212.93
$216.59
$230.51
$274.79
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 66030.
CPT 66030
5 of 25 sample ratesHigher to lower in this preview
South Austin Surgery Center Ltd
$2,782.00Published rateKalamazoo Endo Center LLC
$1,076.00Published rateLegacy Center For Spinal Surgery, LLC
Legacy Center For Spinal Surgery LLC
$656.00Published rateCapital Children'S Healthcare
Capital Childrens Healthcare
$500.00Published rateAmanda Miley
Deaconess Hospital Inc
$138.66Published 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 66030 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66030 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 66030 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 |
|---|---|---|
| 65810-CPT | Moderate | Paracentesis Of Anterior Chamb, Paracentesis Of Anterior Chamber Of Eye (Separateprocedure) With Removal Of Vitreous Andor Discission Of Anterior Hyaloid Membrane With Or Withoutair Injection |
| 65930-CPT | Moderate | Remove Blood Clot From The Eye, Surgery To Remove A Blood Clot From The Anterior Segment Of The Eye (Space Between The Iris And The Cornea). |
| 66020-CPT | Moderate | Injection Into Front Of Eye, Injection (Air Liquid Or Medication) Into The Front Portion Of The Eye (Space Between The Iris And The Cornea). |
| 66030-CPT | Moderate | Injection Into Front Of Eye, Injection (Air Liquid Or Medication) Into The Front Portion Of The Eye (Space Between The Iris And The Cornea). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66030 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 66030) and we'll show you how you compare in 15 minutes or less.