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 66155 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 66155 |
| Medicaid Fee Schedule | View Medicaid rates for 66155 |
National average reimbursement for CPT 66155 by major payers:
$1,038.85
$1,102.68
$1,190.30
$1,423.76
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 66155.
CPT 66155
5 of 25 sample ratesHigher to lower in this preview
Marin Health Ventures, LLC, Marin Specialty Surgery Center
Marin Health Ventures, Inc. Dba Marin Specialty Surgery Center
$5,227.00Published rateEndoscopy Center Of Grand Junction LLC
$2,388.00Published rateWentworth Surgery Center, LLC
Wentworth Surgery Center LLC
$1,781.00Published ratePain Care Center Boise, LLC, Pain Care Boise
Pain Care Center Boise, L.L.C.
$1,421.00Published rateZion Ambulatory Center LLC
$509.00Published 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 66155 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66155 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 66155 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 |
|---|---|---|
| 66150-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
| 66155-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
| 66160-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
| 66170-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66155. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66155 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 66155) and we'll show you how you compare in 15 minutes or less.