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 66505 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.
Surgery On Iris To Drain Fluid, Surgery To Open Up The Colored Portion Of The Eye (Iris). The Procedure Drains Fluid That Is Increasing Pressure Inside The Eyeball.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service 79 - Unrelated procedure - postop period None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66505 |
| Medicaid Fee Schedule | View Medicaid rates for 66505 |
National average reimbursement for CPT 66505 by major payers:
$572.25
$508.98
$568.18
$665.92
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 66505.
CPT 66505
5 of 25 sample ratesHigher to lower in this preview
Stone Oak Surgicenter, LLC
$3,008.00Published rateProliance Surgeons Inc Ps, Proliance Hillside Medical Surgery Center
Proliance Surgeons, Inc., P.S.
$1,367.00Published rateColumbia River Surgery Center LLC
Columbia River Surgery Center, LLC
$809.00Published ratePremier Surgical Center, LLC
Premier Surgical Center LLC
$586.00Published rateVillages Endoscopy & Surgical Center LLC
$400.00Published 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 66505 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66505 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 66505 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 |
|---|---|---|
| 66225-CPT | High | Repair The Surface Of The Eye, Surgery To Repair One Or More Blood Vessels Bulging Out Through The Tough White Outer Shell Of The Eye (Sclera). The Procedure May Involve Use Of A Graft. |
| 66250-CPT | Moderate | Revision Or Repair Of Operativ, Revision Or Repair Of Operative Wound Of Anterior Segmentany Type Early Or Late Major Or Minor Procedure |
| 66500-CPT | Moderate | Surgery On Iris To Drain Fluid, Surgery To Open Up The Colored Portion Of The Eye (Iris). The Procedure Drains Fluid That Is Increasing Pressure Inside The Eyeball. |
| 66505-CPT | Moderate | Surgery On Iris To Drain Fluid, Surgery To Open Up The Colored Portion Of The Eye (Iris). The Procedure Drains Fluid That Is Increasing Pressure Inside The Eyeball. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66505 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 66505) and we'll show you how you compare in 15 minutes or less.