CPT 66820

Discission Secondary Membranous Cataract

CPT 66820 pays $421.19 in a non-facility setting and $421.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $376.88 in Arkansas to $500.39 in Alaska, a 33% spread.

National non-facility rate

$421.19

Office and other outpatient settings

Facility rate
$421.19

Hospital and ASC settings

Highest state
$500.39

Alaska

Lowest state
$376.88

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $421.19
CPT 66820 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $421.19, national facility $421.19.
StateRate compared visuallyNon-facilityFacility
Alaska
$500.39$500.39
District of Columbia
$479.33$479.33
California
$472.91$472.91
New Jersey
$464.10$464.10
New York
$463.33$463.33
Washington
$462.58$462.58
Massachusetts
$458.08$458.08
Hawaii
$455.59$455.59
Connecticut
$447.46$447.46
Colorado
$438.61$438.61
Maryland
$435.57$435.57
Oregon
$434.58$434.58
Rhode Island
$431.89$431.89
New Hampshire
$431.49$431.49
Florida
$431.29$431.29
Puerto Rico
$424.13$424.13
Virgin Islands
$424.13$424.13
Minnesota
$422.51$422.51
Montana
$421.17$421.17
Illinois
$420.99$420.99
Nevada
$419.85$419.85
Wyoming
$418.67$418.67
Delaware
$417.49$417.49
Pennsylvania
$417.27$417.27
Texas
$416.86$416.86
North Dakota
$415.43$415.43
South Dakota
$414.75$414.75
Vermont
$413.59$413.59
Virginia
$413.56$413.56
Arizona
$411.08$411.08
Georgia
$410.36$410.36
Michigan
$408.00$408.00
Maine
$405.07$405.07
Utah
$403.34$403.34
Wisconsin
$402.68$402.68
New Mexico
$399.82$399.82
North Carolina
$398.87$398.87
South Carolina
$398.38$398.38
Missouri
$397.91$397.91
Louisiana
$397.20$397.20
Ohio
$396.82$396.82
Indiana
$395.70$395.70
Idaho
$393.61$393.61
Nebraska
$393.53$393.53
Iowa
$391.47$391.47
Tennessee
$391.14$391.14
Kansas
$389.41$389.41
Kentucky
$389.18$389.18
Oklahoma
$388.97$388.97
West Virginia
$388.56$388.56
Alabama
$381.87$381.87
Mississippi
$379.61$379.61
Arkansas
$376.88$376.88

Billed by 1 specialties

Commercial rates for 66820

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates