How does CPT 66984 compare to other eye and ocular adnexa surgical procedures?

CPT 66984 is part of the Surgery services for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter, involving more provider time and moderate medical decision-making compared to lower-level codes. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements, distinguishing it from codes like 66940, 66982, and 66983 based on complexity and specific techniques.

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

To get an estimate for a medical procedure or service, especially for a specific CPT code and location, it's highly recommended to use price transparency tools. We suggest utilizing Payerprice's fee schedule lookup tool. This tool allows you to search for costs based on CPT codes and specific geographical locations, providing clarity on potential out-of-pocket expenses. You can also contact your insurance provider or the healthcare facility for an estimate, but Payerprice offers a user-friendly and comprehensive search option for comparative pricing.

What factors influence the cost of a medical service?

The cost of medical services can vary significantly due to several factors. These include the type and complexity of the procedure, the healthcare provider's individual fees, the geographic location where the service is rendered, whether the provider is in-network or out-of-network with your insurance plan, and the type of facility (e.g., hospital, outpatient clinic, or doctor's office). Your insurance plan's specifics, such as deductibles, copays, and coinsurance, also play a crucial role in your final out-of-pocket cost. For specific pricing data that considers CPT codes and location, tools like Payerprice can be invaluable.

How does my health insurance affect the price I pay for medical care?

Your health insurance plan significantly impacts the amount you ultimately pay for medical care. It dictates your deductible (the amount you must pay before your insurance begins to cover costs), your copay (a fixed amount you pay for certain services), and coinsurance (a percentage of the cost you're responsible for after meeting your deductible). Services from in-network providers typically result in lower out-of-pocket costs compared to out-of-network providers. To understand your specific cost-sharing responsibilities and what your plan covers for a particular service, consult your insurance benefits details or use a tool like Payerprice to get an idea of standard fee schedules that your plan might negotiate against.

CPT 66984 Fee Schedule

Q: What is CPT 66984?

CPT 66984 is a medical code used by healthcare providers to document and receive reimbursement for Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure). It addresses moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Last Verified: September 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.

Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure) Manual Or Mechanical Technique (Eg Irrigation And Aspiration Or Phacoemulsification); Without Endoscopic Cyclophotocoagulation (Desc Rvsd 1/1/20)

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	Moderate
Medicare Fee Schedule	View Medicare rates for 66984
Medicaid Fee Schedule	View Medicaid rates for 66984

National average reimbursement for CPT 66984 by major payers:

$775.69

$805.95

$856.16

$962.40

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CPT 66984

5 of 25 sample ratesHigher to lower in this preview

Tarrant County Surgery Center Lp
TXAmbulatory Surgical Clinic/CenterNPI 1104947357Tax ID 71-0985084
$4,259.00Published rate
Lauren Yeager
The New York And Presbyterian Hospital
NYOphthalmology PhysicianNPI 1407019896Tax ID 13-3957095
$1,061.87Published rate
Physicians Surgical Center Of Ft. Worth LLP, Baylor Scott & White Surgicare Fort Worth
Physicians Surgical Center Of Ft Worth LLP
TXAmbulatory Surgical Clinic/CenterNPI 1578530226Tax ID 20-8303422
$892.00Published rate
Dennis Silber
St Peters Health Partners Medical Associates PC
NYMedical Physician AssistantNPI 1265430326Tax ID 46-1177336
$728.21Published rate
Zimei Zhou
Bronxcare Dr Martin Luther King Jr Health Center
NYOphthalmology PhysicianNPI 1053638676Tax ID 13-2707945
$367.66Published 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

This code appears in 1 published specialty market.

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CPT 66984 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes

The CPT 66984 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 66984 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
66940-CPT	Moderate	Surgery To Remove Cataract, Surgery To Remove A Cataract (Clouded Lens) Including The Front Part Of The Lens Capsule. The Back Of The Lens Capsule Is Left In Place.
66982-CPT	High	Xcapsl Ctrc Rmvl Cplx Wo Ecp, Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis 1 Stage Procedure Manual Or Mechanical Technique Eg Irrigation And Aspiration Or Phacoemulsification Complex Requiring Devices Or Techniques Not Generally Used In Routine Cataract Surgery Eg Iris Expansion Device Suture Support For Intraocular Lens Or Primary Posterior Capsulorrhexis Or Performed On Patients In The Amblyogenic Developmental Stage Without Endoscopic Cyclophotocoagulation
66983-CPT	High	Eye Surgery For Cataract, Surgery To Remove A Cataract (Clouded Lens) And The Lens Capsule. A Replacement Lens May Be Implanted In The Same Procedure.
66984-CPT	Moderate	Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure) Manual Or Mechanical Technique (Eg Irrigation And Aspiration Or Phacoemulsification); Without Endoscopic Cyclophotocoagulation (Desc Rvsd 1/1/20)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66984. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 66984 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 66984 Fee Schedule

Tarrant County Surgery Center Lp

Lauren Yeager

Physicians Surgical Center Of Ft. Worth LLP, Baylor Scott & White Surgicare Fort Worth

Dennis Silber

Zimei Zhou