Code Reality Check
66984 reimbursement rate: Cataract surgery w/ IOL, 1-stage
Cataract surgery w/ IOL, 1-stage (CPT 66984) pays a median $2,461.70 in North Carolina and $642.47 in Rhode Island, against a Medicare anchor of $556.39. 51 of 51 states clear the publication floor.
spread 3.8x top to bottom
Medicare anchor $556.39
51/51 states published
The 50-state spread
as of 2026-07-15| State | Median | vs Medicare | Band | Rate points | Tier |
|---|---|---|---|---|---|
| North Carolina | $2,461.70 | 4.42x | $522–$2,632 · P90 $2,632 | 100,961 | Benchmark |
| Wisconsin | $1,333.98 | 2.40x | $654–$2,955 · P90 $4,614 | 78,360 | Benchmark |
| Minnesota | $1,030.74 | 1.85x | $662–$1,590 · P90 $2,639 | 14,578 | Benchmark |
| New Hampshire | $932.33 | 1.68x | $656–$1,561 · P90 $2,049 | 21,940 | Benchmark |
| Nebraska | $914.63 | 1.64x | $608–$1,369 · P90 $2,345 | 1,001 | Benchmark |
| Missouri | $902.72 | 1.62x | $582–$1,220 · P90 $2,165 | 138,703 | Benchmark |
| Utah | $898.32 | 1.61x | $623–$1,600 · P90 $2,729 | 1,652 | Benchmark |
| Colorado | $883.27 | 1.59x | $662–$1,903 · P90 $1,903 | 11,209 | Benchmark |
| Iowa | $872.29 | 1.57x | $624–$1,306 · P90 $2,050 | 2,753 | Benchmark |
| North Dakota | $870.95 | 1.57x | $636–$1,384 · P90 $2,193 | 581 | Benchmark |
| Wyoming | $847.52 | 1.52x | $652–$1,136 · P90 $1,561 | 759 | Benchmark |
| Illinois | $844.10 | 1.52x | $550–$1,237 · P90 $2,300 | 27,964 | Benchmark |
| Idaho | $835.97 | 1.50x | $633–$1,535 · P90 $2,467 | 960 | Benchmark |
| Arkansas | $832.12 | 1.50x | $569–$1,219 · P90 $1,866 | 2,204 | Benchmark |
| Montana | $827.77 | 1.49x | $593–$1,229 · P90 $2,392 | 784 | Benchmark |
| Oregon | $825.03 | 1.48x | $538–$1,467 · P90 $2,632 | 2,767 | Benchmark |
| South Dakota | $824.38 | 1.48x | $533–$1,273 · P90 $2,632 | 438 | Benchmark |
| Massachusetts | $813.75 | 1.46x | $542–$1,454 · P90 $1,823 | 14,827 | Benchmark |
| Oklahoma | $811.93 | 1.46x | $547–$1,222 · P90 $1,920 | 2,015 | Benchmark |
| Pennsylvania | $801.35 | 1.44x | $557–$1,137 · P90 $2,144 | 16,462 | Benchmark |
| California | $798.73 | 1.44x | $743–$2,066 · P90 $2,795 | 128,522 | Benchmark |
| Arizona | $795.52 | 1.43x | $567–$1,215 · P90 $2,529 | 5,648 | Benchmark |
| Nevada | $794.86 | 1.43x | $598–$1,299 · P90 $2,632 | 2,356 | Benchmark |
| Kansas | $793.61 | 1.43x | $512–$1,147 · P90 $1,652 | 3,523 | Benchmark |
| New Mexico | $785.72 | 1.41x | $510–$1,152 · P90 $2,302 | 1,626 | Benchmark |
| Delaware | $785.38 | 1.41x | $557–$1,117 · P90 $1,769 | 1,123 | Benchmark |
| Mississippi | $783.52 | 1.41x | $530–$1,220 · P90 $2,270 | 1,244 | Benchmark |
| Connecticut | $782.36 | 1.41x | $533–$1,189 · P90 $2,316 | 9,187 | Benchmark |
| Michigan | $775.92 | 1.39x | $546–$1,155 · P90 $2,496 | 10,989 | Benchmark |
| Louisiana | $775.11 | 1.39x | $515–$1,181 · P90 $2,401 | 2,404 | Benchmark |
| Washington | $768.59 | 1.38x | $541–$1,332 · P90 $2,632 | 5,329 | Benchmark |
| Indiana | $766.16 | 1.38x | $483–$1,024 · P90 $1,149 | 116,058 | Benchmark |
| New Jersey | $759.41 | 1.36x | $456–$1,114 · P90 $1,818 | 27,577 | Benchmark |
| Hawaii | $758.84 | 1.36x | $526–$1,153 · P90 $2,384 | 1,342 | Benchmark |
| Florida | $751.74 | 1.35x | $526–$1,113 · P90 $1,861 | 29,037 | Benchmark |
| Vermont | $744.18 | 1.34x | $544–$1,004 · P90 $1,561 | 3,025 | Benchmark |
| Georgia | $743.19 | 1.34x | $530–$1,116 · P90 $1,565 | 169,747 | Benchmark |
| Alaska | $742.66 | 1.33x | $501–$1,170 · P90 $2,474 | 594 | Benchmark |
| Alabama | $741.98 | 1.33x | $509–$1,113 · P90 $1,624 | 4,402 | Benchmark |
| Tennessee | $741.98 | 1.33x | $499–$1,091 · P90 $1,777 | 11,513 | Benchmark |
| New York | $728.41 | 1.31x | $529–$1,112 · P90 $1,950 | 518,905 | Benchmark |
| South Carolina | $726.23 | 1.31x | $418–$1,230 · P90 $2,632 | 9,597 | Benchmark |
| Ohio | $716.24 | 1.29x | $468–$1,101 · P90 $1,793 | 160,509 | Benchmark |
| Maryland | $710.48 | 1.28x | $529–$1,061 · P90 $1,797 | 8,754 | Benchmark |
| District of Columbia | $710.48 | 1.28x | $617–$1,033 · P90 $1,532 | 3,353 | Benchmark |
| Texas | $702.11 | 1.26x | $506–$1,084 · P90 $1,852 | 35,883 | Benchmark |
| Kentucky | $692.63 | 1.24x | $483–$932 · P90 $1,149 | 43,882 | Benchmark |
| Virginia | $669.62 | 1.20x | $457–$951 · P90 $1,154 | 44,479 | Benchmark |
| West Virginia | $662.25 | 1.19x | $417–$952 · P90 $1,305 | 3,364 | Benchmark |
| Maine | $647.79 | 1.16x | $483–$1,026 · P90 $1,539 | 28,649 | Benchmark |
| Rhode Island | $642.47 | 1.15x | $546–$893 · P90 $1,308 | 5,512 | Benchmark |
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
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Cite this page
Source: Reddenda Code Reality Check, CPT 66984. Reddenda. https://reddenda.health/code/66984/
Derivation federally mandated TiC MRFs, verified to provider identity1,839,051 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0