How can I find the estimated cost of a medical procedure or service?

To get an estimated cost for a medical procedure or service, you can contact your insurance provider or the healthcare facility directly. For a more precise search based on a specific CPT code and your location, you can use online tools like Payerprice. Payerprice has a fee schedule lookup tool designed for this purpose.

What is a CPT code and why is it important for understanding costs?

CPT stands for Current Procedural Terminology. These are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are critical for accurate billing and allow you to look up and compare prices for specific procedures, for example, using a tool like Payerprice.

Why do healthcare costs vary so much between different providers or locations?

Healthcare costs can vary significantly due to several factors, including the provider's specific pricing agreements with insurance companies, geographic location, the type of facility (e.g., hospital vs. outpatient clinic), and the complexity of the service. Tools like Payerprice can help you see these variations by searching with CPT codes and locations.

Can I compare prices for specific medical procedures before I receive care?

Yes, it is highly recommended to compare prices for specific medical procedures, especially for non-emergency services. This helps you make informed decisions about your healthcare. You can utilize tools like Payerprice, which offers a fee schedule lookup tool allowing you to search with a CPT code and specific location to compare potential costs from different providers.

Where can I look up the fee schedule or price for a specific CPT code in my area?

To find the fee schedule or price for a specific CPT code in your area, you should use Payerprice. Payerprice provides a dedicated fee schedule lookup tool where you can enter a CPT code and your specific location to find pricing information, helping you understand potential costs for medical services.

CPT 66821 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.

Eye Surgery For Cataract, Laser Surgery For A Complicated (Secondary) Cataract. The Cataract Is Secondary To Another Eye Disease Or There Is Remaining Cataract After Previous Cataract Surgery.

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Eye and Ocular Adnexa
Common Place of Service	24 - Ambulatory Surgical Center 11 - Office
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 66821
Medicaid Fee Schedule	View Medicaid rates for 66821

National average reimbursement for CPT 66821 by major payers:

$424.61

$416.42

$455.24

$520.30

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 66821.

CPT 66821

5 of 25 sample ratesHigher to lower in this preview

Alexandra Moore
Dartmouth-Hitchcock Clinic
MASurgical Physician AssistantNPI 1376969527Tax ID 22-2519596
$2,417.12Published rate
Stephen Guerin
Dartmouth-Hitchcock Clinic
NHDiagnostic Radiology PhysicianNPI 1477667830Tax ID 22-2519596
$2,417.12Published rate
Suzanne Nabi-Tremblay
Dartmouth-Hitchcock Clinic
NHFamily Medicine PhysicianNPI 1972536589Tax ID 22-2519596
$1,269.31Published rate
Jessica Payton
Dartmouth-Hitchcock Clinic
NHPediatrics PhysicianNPI 1134200348Tax ID 22-2519596
$1,269.31Published rate
Venkata Yelamanchili
Deaconess Hospital Inc
INInterventional Cardiology PhysicianNPI 1225022866Tax ID 35-0593390
$586.65Published rate

Get a free rate benchmark for your specialty.

Choose your state and specialty to build a report from payer-published rates.

Build my free benchmark

Use market rates to prepare your payer proposal.

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 comparison

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 proposal

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

This code appears in 1 published specialty market.

Explore state-level rates by specialty

CPT 66821 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes

The CPT 66821 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 66821 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
66820-CPT	Moderate	Eye Surgery For Cataract, Laser Surgery For A Complicated (Secondary) Cataract. The Cataract Is Secondary To Another Eye Disease Or There Is Remaining Cataract After Previous Cataract Surgery.
66821-CPT	Moderate	Eye Surgery For Cataract, Laser Surgery For A Complicated (Secondary) Cataract. The Cataract Is Secondary To Another Eye Disease Or There Is Remaining Cataract After Previous Cataract Surgery.
66825-CPT	Moderate	Rposition Of Ntraocular Lens Prosthes Requir An Ncision (S, Repositioning Of Intraocular Lens Prosthesis Requiring An Incision (S
66830-CPT	Moderate	Removal Of Lens Lesion, Removal Of Secondary Membranous Cataract Opacified Posterior Lens Capsule And Or Anterior Hyaloid With Corneo Scleral Section With Or Without Iridectomy Iridocapsulotomy Iridocapsulectomy

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66821. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 66821 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 66821) and we'll show you how you compare in 15 minutes or less.

Schedule a Demo

CPT 66821 Fee Schedule

Alexandra Moore

Stephen Guerin

Suzanne Nabi-Tremblay

Jessica Payton

Venkata Yelamanchili