How can I find out the cost of a medical procedure?

To find out the cost of a medical procedure, you can first ask your healthcare provider for an estimate. It's also advisable to contact your health insurance company to understand your out-of-pocket costs, including deductibles, co-pays, and co-insurance. For a more direct way to look up prices based on specific CPT codes and your location, you can utilize tools like Payerprice, which provides fee schedule lookups.

CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by healthcare professionals to describe medical, surgical, and diagnostic services provided to patients. They are crucial for billing and reimbursement processes and are often used when looking up specific procedure costs.

Why do healthcare costs vary so much?

Healthcare costs can vary significantly due to several factors, including the specific healthcare provider or facility, your geographical location, your insurance plan's negotiated rates, the complexity of the procedure, and whether the provider is in-network or out-of-network. Different providers may also have different overheads and pricing strategies.

Where can I look up the cost for a specific CPT code in my area?

To look up the cost for a specific CPT code in your area, you can use specialized tools designed for healthcare price transparency. Payerprice offers a fee schedule lookup tool where you can search using a CPT code and your specific location to find relevant cost information.

What information do I need to get an accurate cost estimate?

For the most accurate cost estimate, you generally need the specific CPT code(s) for the procedure or service, your geographical location, and information about your health insurance plan (including your policy number and group number). Knowing whether the provider is in-network with your insurance can also significantly impact the final cost. For specific fee schedule data, Payerprice's lookup tool can be used with a CPT code and location.

CPT 66174 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are affected by 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), and Provider Type (hospital providers may have different rates than private practice).

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.

Relieve Pressure In Eye, Enlargement (Dilation) Of The Canal That Drains Fluid From The Eye. The Procedure Can Relieve Pressure In The Eye Associated With Glaucoma. A Support Device (Stent) May Be Left In Place To Keep The Canal Enlarged.

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 RT - Right side of body LT - Left side of body
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 66174
Medicaid Fee Schedule	View Medicaid rates for 66174

National average reimbursement for CPT 66174 by major payers:

$1,009.56

$1,273.70

$1,138.16

$1,306.94

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CPT 66174

5 of 25 sample ratesHigher to lower in this preview

Lubbock County Hospital District, University Medical Center
Lubbock County Hospital District
TXAmbulatory Surgical Clinic/CenterNPI 1538245717Tax ID 75-1301362
$10,714.00Published rate
Plastic Head And Neck Surgery Institute
GAAmbulatory Surgical Clinic/CenterNPI 1295288751Tax ID 81-2018399
$3,452.00Published rate
Klamath Surgery Center LLC, Klamath Surgeons LLC
Klamath Surgery Center LLC
ORAmbulatory Surgical Clinic/CenterNPI 1205871050Tax ID 91-1836091
$2,994.00Published rate
Imperial Health, LLP
LAAmbulatory Surgical Clinic/CenterNPI 1922178169Tax ID 72-1005645
$1,798.00Published rate
Iowa Endoscopy Center, Inc.
Iowa Endoscopy Center Inc
IAAmbulatory Surgical Clinic/CenterNPI 1609968478Tax ID 42-1407285
$683.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 66174 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes

The CPT 66174 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 66174 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
66174-CPT	High	Relieve Pressure In Eye, Enlargement (Dilation) Of The Canal That Drains Fluid From The Eye. The Procedure Can Relieve Pressure In The Eye Associated With Glaucoma. A Support Device (Stent) May Be Left In Place To Keep The Canal Enlarged.
66175-CPT	High	Relieve Pressure In Eye, Enlargement (Dilation) Of The Canal That Drains Fluid From The Eye. The Procedure Can Relieve Pressure In The Eye Associated With Glaucoma. A Support Device (Stent) May Be Left In Place To Keep The Canal Enlarged.
66179-CPT	High	Place Eye Shunt (Drainage), Surgery To Create A Shunt (Tube That Drains Fluid From One Part Of The Body To Another) To Drain Fluid From Within The Eye.
66180-CPT	High	Place Eye Shunt (Drainage), Surgery To Create A Shunt (Tube That Drains Fluid From One Part Of The Body To Another) To Drain Fluid From Within 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 66174. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 66174 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.

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CPT 66174 Fee Schedule

Compare published rates across providers.

Lubbock County Hospital District, University Medical Center

Plastic Head And Neck Surgery Institute

Klamath Surgery Center LLC, Klamath Surgeons LLC

Imperial Health, LLP

Iowa Endoscopy Center, Inc.