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 67115 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 To Relax Eye Tissue, Surgery To Relax A Scleral Buckle. The Procedure Relieves Tension On A Previously Repaired Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain).
| 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 67115 |
| Medicaid Fee Schedule | View Medicaid rates for 67115 |
National average reimbursement for CPT 67115 by major payers:
$650.74
$632.06
$681.16
$797.27
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 67115.
CPT 67115
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$6,245.00Published rateYuma Advanced Surgical Suites LLC
Yuma Advanced Surgical Suites, LLC
$2,353.00Published rateDoctors Park Surgery Inc
Doctors Park Surgery, Inc
$1,871.00Published rateUniversity Of Miami, Umiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - Asc)
University Of Miami
$1,355.00Published rateMichigan Outpatient Surgery Center Inc, Michigan Outpatient Surgery Center
Michigan Outpatient Surgery Center Inc
$490.00Published 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 67115 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67115 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 67115 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 |
|---|---|---|
| 67115-CPT | Moderate | Surgery To Relax Eye Tissue, Surgery To Relax A Scleral Buckle. The Procedure Relieves Tension On A Previously Repaired Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain). |
| 67120-CPT | Moderate | Remove Implant In Back Of Eye, Removal Of Implant Used To Repair A Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain). |
| 67121-CPT | High | Remove Implant In Back Of Eye, Removal Of Implant Used To Repair A Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain). |
| 67141-CPT | Moderate | Prophylaxis Of Retinal Detachm, Prophylaxis Of Retinal Detachment (Eg Retinal Breaklattice Degeneration) Without Drainage One Or More Sessions Cryotherapy Diathermy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67115. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67115 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 67115) and we'll show you how you compare in 15 minutes or less.