Average Medicaid Cataract Surgery Payments
Typical Medicaid Cataract Surgery reimbursement across 1,071 cities
Avg. Medicaid Paid
$364.34
Price Range
$0.00 – $2,158
Total Claims
1.5M
Cities
1071
Typical Payment Range
Typical Medicaid Cataract Surgery payments fall between $154.52 and $445.35 per claim (median: $259.78). The top 10% of payments exceed $752.47.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Cataract surgery removes the cloudy natural lens of the eye and replaces it with an artificial intraocular lens (IOL) to restore clear vision.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Woonsocket, RI | $196.58 | $196.58 – $196.58 | 117 | 1 |
| Seguin, TX | $61.89 | $61.89 – $61.89 | 116 | 1 |
| Plattsburgh, NY | $259.80 | $259.80 – $259.80 | 114 | 1 |
| Clarksville, TN | $156.70 | $156.70 – $156.70 | 114 | 1 |
| Roseburg, OR | $336.48 | $221.60 – $464.13 | 114 | 2 |
| Winchester, KY | $132.77 | $64.16 – $171.30 | 114 | 2 |
| Westerville, OH | $849.87 | $849.87 – $849.87 | 113 | 1 |
| Concord, NH | $209.98 | $209.98 – $209.98 | 112 | 1 |
| New Britain, CT | $389.57 | $71.16 – $520.62 | 112 | 3 |
| West Hills, CA | $221.86 | $221.86 – $221.86 | 112 | 1 |
| Fort Mill, SC | $183.90 | $183.90 – $183.90 | 112 | 1 |
| Santa Barbara, CA | $280.27 | $263.63 – $359.73 | 110 | 3 |
| Carmel, IN | $246.57 | $113.34 – $312.01 | 109 | 3 |
| South Charleston, WV | $122.75 | $8.89 – $196.94 | 109 | 2 |
| Westminster, CO | $310.47 | $310.47 – $310.47 | 109 | 1 |
| Racine, WI | $166.33 | $166.33 – $166.33 | 109 | 1 |
| Bergenfield, NJ | $174.76 | $174.76 – $174.76 | 109 | 1 |
| Saint Charles, MO | $89.97 | $89.97 – $89.97 | 108 | 1 |
| Florence, KY | $409.45 | $409.45 – $409.45 | 106 | 1 |
| Germantown, WI | $416.18 | $416.18 – $416.18 | 106 | 1 |
| San Antonio, TX | $71.54 | $26.29 – $202.27 | 105 | 2 |
| Belleville, NJ | $1,000 | $1,000 – $1,000 | 105 | 1 |
| Colonie, NY | $968.75 | $968.75 – $968.75 | 105 | 1 |
| Taylor, MI | $1,134 | $1,134 – $1,134 | 104 | 1 |
| Durango, CO | $253.41 | $203.09 – $279.02 | 103 | 3 |
| Camillus, NY | $169.33 | $169.33 – $169.33 | 101 | 1 |
| Jenks, OK | $395.42 | $189.39 – $474.45 | 101 | 2 |
| Jefferson City, MO | $139.55 | $139.55 – $139.55 | 100 | 1 |
| Ridgefield, CT | $240.74 | $240.74 – $240.74 | 100 | 1 |
| Old Westbury, NY | $170.14 | $170.14 – $170.14 | 100 | 1 |
| Albany, GA | $170.86 | $170.86 – $170.86 | 99 | 1 |
| Goldsboro, NC | $68.64 | $68.64 – $68.64 | 99 | 1 |
| Lawton, OK | $274.10 | $228.24 – $336.34 | 99 | 2 |
| Athol, MA | $102.76 | $102.76 – $102.76 | 99 | 1 |
| Janesville, WI | $176.75 | $176.75 – $176.75 | 98 | 1 |
| Lawrence, MA | $166.79 | $125.54 – $260.27 | 98 | 2 |
| Somers Point, NJ | $415.84 | $415.84 – $415.84 | 97 | 1 |
| East Orange, NJ | $538.61 | $538.61 – $538.61 | 96 | 1 |
| Kearney, NE | $456.17 | $456.17 – $456.17 | 95 | 1 |
| Marshalltown, IA | $143.16 | $60.77 – $208.44 | 95 | 2 |
| Walla Walla, WA | $133.24 | $133.24 – $133.24 | 95 | 1 |
| Salem, MA | $122.06 | $16.14 – $140.37 | 95 | 2 |
| Bishop, CA | $0.00 | $0.00 – $0.00 | 95 | 1 |
| Ocean Springs, MS | $180.48 | $180.48 – $180.48 | 94 | 1 |
| Huntersville, NC | $151.34 | $151.34 – $151.34 | 94 | 1 |
| Rock Hill, SC | $112.82 | $112.82 – $112.82 | 90 | 1 |
| San Leandro, CA | $493.08 | $492.14 – $498.18 | 90 | 2 |
| Queens Village, NY | $89.51 | $89.51 – $89.51 | 90 | 1 |
| Columbus, IN | $407.64 | $199.95 – $640.04 | 89 | 2 |
| St Thomas, VI | $519.27 | $373.89 – $546.41 | 89 | 2 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 66984 | Cataract surgery w/IOL insert | $362.00 | 1,499,454 | 2,674 |
| 66982 | Cataract surgery complex | $428.92 | 33,642 | 172 |
| 66840 | Lens removal aspiration technique | — | — | — |
| 66850 | Lens removal phacofragment | — | — | — |
| 66920 | Lens removal intracapsular | — | — | — |
| 66930 | Lens removal intracap w/implant | — | — | — |
| 66940 | Lens removal extracapsular | — | — | — |
| 66983 | Cataract surgery intracap implant | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.