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 67320 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.
Transposition Procedure (Eg F, Transposition Procedure (Eg For Paretic Extraocularmuscle) Any Extraocular Muscle (Specify) (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67320 |
| Medicaid Fee Schedule | View Medicaid rates for 67320 |
National average reimbursement for CPT 67320 by major payers:
$317.84
$401.06
$398.02
$407.13
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 67320.
CPT 67320
5 of 25 sample ratesHigher to lower in this preview
Heights Surgery Center, Inc., Heights Surgey Center
Heights Surgery Center Inc
$1,523.50Published rateAmbulatory Surgical Associates LLC, Tullahoma Surgery Center
Ambulatory Surgical Associates LLC
$574.00Published rateTallgrass Surgical Center, LLC
$348.00Published ratePhysicians Surgery Center At Glendale Adventist, LLC
Physicians Surgery Center At Glendale Adventist LLC
$190.00Published ratePodiatry Group Of Annapolis Ambulatory Surgical Center, Podiatry Group Of Annapolis Ambulatory Surgical Center LLC
Podiatry Group Of Annapolis Ambulatory Surgical Center
$47.00Published 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 67320 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67320 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 67320 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 |
|---|---|---|
| 67311-CPT | Moderate | Strabismus Surg Recession Or Resct Proc; 1 Horizontal Mus, Strabismus Surgery Recession Or Resection Procedure; 1 Horizontal Mus |
| 67312-CPT | Moderate | Strabismus Surg Recession Or Resct Proc; 2 Horizontal Mus, Strabismus Surgery Recession Or Resection Procedure; 2 Horizontal Mus |
| 67314-CPT | Moderate | Strabismus Surgery Recession, Strabismus Surgery Recession Or Resection Procedure Onevertical Muscle (Excluding Superior Oblique) |
| 67320-CPT | Moderate | Transposition Procedure (Eg F, Transposition Procedure (Eg For Paretic Extraocularmuscle) Any Extraocular Muscle (Specify) (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67320 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 67320) and we'll show you how you compare in 15 minutes or less.