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 66850 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.
Removal Of Lens Material Phac, Removal Of Lens Material Phacofragmentation Technique(Mechanical Or Ultrasonic) (Eg Phacoemulsification) With Aspiration
| 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 66850 |
| Medicaid Fee Schedule | View Medicaid rates for 66850 |
National average reimbursement for CPT 66850 by major payers:
$1,006.96
$1,006.58
$1,074.34
$1,258.66
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 66850.
CPT 66850
5 of 25 sample ratesHigher to lower in this preview
Grass Valley Surgery Center, LLC
$4,304.00Published rateSph Irvine, L.L.C.
$2,370.00Published rateNacogdoches County Hospital District, Nacogdoches Memorial Hospital Day Surgery
Lion Star Nacogdoches Hospital, LLC Dba Nacogdoches Memorial Hospital
$1,574.00Published rateSouth Pointe Surgical Center
South Pointe Surgical Center, LLC
$1,000.00Published rateGastroenterology Care Inc
$727.00Published 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 66850 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66850 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 66850 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 |
|---|---|---|
| 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. |
| 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 |
| 66840-CPT | Moderate | Remval Of Lens Mterial; Aspirat Techniq 1 Or More Stages, Removal Of Lens Material; Aspiration Technique 1 Or More Stages |
| 66850-CPT | High | Removal Of Lens Material Phac, Removal Of Lens Material Phacofragmentation Technique(Mechanical Or Ultrasonic) (Eg Phacoemulsification) With Aspiration |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66850 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 66850) and we'll show you how you compare in 15 minutes or less.