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

To find the cost of a specific medical procedure or service, it's helpful to know the Current Procedural Terminology (CPT) code for that service. You can then use a tool like Payerprice's fee schedule lookup to search with the CPT code and your specific location to get an estimate of the costs. For precise out-of-pocket costs, always confirm with your insurance provider and the healthcare facility.

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

A CPT (Current Procedural Terminology) code is a standardized set of five-digit codes used by medical professionals, insurers, and government agencies to describe medical, surgical, and diagnostic services. They are crucial for understanding medical costs because they provide a universal language for billing and processing insurance claims, allowing for consistency in how services are coded and priced. When you know the CPT code for a service, you can use it to research potential costs.

Where can I find information about the fee schedules for different medical services?

For detailed information on fee schedules for various medical services, especially based on CPT codes and specific locations, Payerprice offers a fee schedule lookup tool. This tool allows users to search with CPT codes and their specific location to understand the typical reimbursement rates and costs associated with medical procedures.

How does my location affect the cost of medical services?

Your specific location significantly affects the cost of medical services due to varying regional economic factors, cost of living, local provider competition, and different payer fee schedules. Services in urban areas or regions with higher operating costs typically have higher prices than those in rural areas. To understand how location impacts a specific service, you can use Payerprice's fee schedule lookup tool, which allows you to search with CPT codes and specific locations.

What should I do if I have questions about a medical bill I received?

If you have questions about a medical bill, first review it carefully for accuracy, checking dates of service, codes, and billed amounts against any Explanation of Benefits (EOB) from your insurance. Next, contact your healthcare provider's billing department for clarification. If discrepancies remain, or if you want to verify the typical cost of the services billed, you can use Payerprice's fee schedule lookup tool with the CPT codes from your bill and your location to compare the charges. Finally, if issues persist, contact your insurance company for assistance.

CPT 67108 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are affected by several factors including 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.

Repair Detached Retina, Repair Of Retinal Detachment With Vitrectomy Any Method Including When Performed Air Or Gas Tamponade Focal Endolaser Photocoagulation Cryotherapy Drainage Of Subretinal Fluid Scleral Buckling And Or Removal Of Lens By Same Technique

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 67108
Medicaid Fee Schedule	View Medicaid rates for 67108

National average reimbursement for CPT 67108 by major payers:

$1,520.91

$1,721.05

$1,805.40

$2,060.38

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CPT 67108

5 of 25 sample ratesHigher to lower in this preview

Matthew Wade
Regents Of The University Of California At Irvine
CACornea and External Diseases Specialist PhysicianNPI 1750544755Tax ID 95-2226406
$4,657.43Published rate
Raghunand Sastry
CAOphthalmology PhysicianNPI 1083688642Tax ID 77-0581009
$1,802.33Published rate
Steven Fogg
Eye Medical Clinic Of Fresno, Inc.
CAOphthalmology PhysicianNPI 1982666871Tax ID 94-2179577
$1,379.90Published rate
Cse Medical Group Inc., Conejo Simi Eye Medical Group
Cse Medical Group, Inc.
CAOphthalmology PhysicianNPI 1215979844Tax ID 20-1088973
$1,049.95Published rate
Frank C. Lee, M.D., Inc.
Frank C Lee Md Inc
TXOphthalmology PhysicianNPI 1467982819Tax ID 82-1437725
$880.61Published 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 67108 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes

The CPT 67108 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 67108 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
67101-CPT	Moderate	Surgery For Retina Detachment, Surgery To Repair A Detached Retina Along With Any Other Damaged Portions Of The Eye. The Procedure Typically Includes An Implant To Help Regulate Internal Eye Pressure Or Drains Excess Eye Fluid.
67105-CPT	Moderate	Surgery For Retina Detachment, Surgery To Repair A Detached Retina Along With Any Other Damaged Portions Of The Eye. The Procedure Typically Includes An Implant To Help Regulate Internal Eye Pressure Or Drains Excess Eye Fluid.
67107-CPT	High	Repair Of Retinal Detachment; Scleral Buckling (Such As Lamellar Scleral Dissection Imbrication Or Encircling Procedure) Including When Performed Implant Cryotherapy Photocoagulation And Drainage Of Subretinal Fluid Revised 01/01/2016
67108-CPT	High	Repair Detached Retina, Repair Of Retinal Detachment With Vitrectomy Any Method Including When Performed Air Or Gas Tamponade Focal Endolaser Photocoagulation Cryotherapy Drainage Of Subretinal Fluid Scleral Buckling And Or Removal Of Lens By Same Technique

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67108. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 67108 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 67108 Fee Schedule

Matthew Wade

Raghunand Sastry

Steven Fogg

Cse Medical Group Inc., Conejo Simi Eye Medical Group

Frank C. Lee, M.D., Inc.