Cost analysis for CPT 66174 — Dilation of fluid outflow drainage within eye
Average Medicare Payment
$773.03
2023 data
Total Payments (2023)
$23.7M
Services (2023)
29.6K
Price Change (2014–2023)
-20.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $975.07 | $353.0K | 343 | — |
| 2015 | $917.28 | $947.6K | 963 | -5.9% |
| 2016 | $602.55 | $744.4K | 1.3K | -34.3% |
| 2017 | $988.08 | $2.9M | 2.9K | +64.0% |
| 2018 | $986.97 | $5.5M | 5.4K | -0.1% |
| 2019 | $1026.86 | $14.1M | 13.8K | +4.0% |
| 2020 | $1020.92 | $14.6M | 14.1K | -0.6% |
| 2021 | $979.19 | $23.0M | 23.2K | -4.1% |
| 2022 | $890.93 | $25.2M | 27.6K | -9.0% |
| 2023 | $773.03 | $23.7M | 29.6K | -13.2% |
The most expensive state pays 2.4x more than the cheapest for this procedure. SC averages $1074.27 vs RI at $453.17.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| SC | $1074.27 | $323.4K | 301 | 11 |
| IA | $1011.41 | $130.5K | 129 | 4 |
| HI | $1008.65 | $391.4K | 388 | 8 |
| NY | $1006.67 | $732.9K | 728 | 24 |
| IL | $939.69 | $887.1K | 944 | 30 |
| AR | $935.48 | $458.4K | 490 | 11 |
| WI | $909.94 | $187.4K | 206 | 6 |
| MA | $905.71 | $329.7K | 364 | 11 |
| WA | $900.99 | $255.9K | 284 | 10 |
| CO | $886.04 | $281.8K | 318 | 11 |
| VA | $885.00 | $539.0K | 609 | 16 |
| OK | $882.57 | $541.9K | 614 | 10 |
| CA | $866.25 | $5.2M | 6.0K | 141 |
| NJ | $854.92 | $1.3M | 1.6K | 39 |
| SD | $850.22 | $185.3K | 218 | 7 |
| AZ | $839.30 | $1.1M | 1.3K | 26 |
| GA | $838.56 | $248.2K | 296 | 10 |
| MD | $786.98 | $1.1M | 1.4K | 31 |
| FL | $781.80 | $2.4M | 3.0K | 68 |
| KS | $779.29 | $289.9K | 372 | 7 |
| NV | $746.00 | $241.0K | 323 | 12 |
| MI | $706.87 | $329.4K | 466 | 15 |
| TX | $693.58 | $1.1M | 1.6K | 43 |
| OH | $693.20 | $625.3K | 902 | 21 |
| PA | $692.01 | $898.9K | 1.3K | 28 |
| MT | $689.49 | $86.2K | 125 | 4 |
| TN | $684.33 | $596.7K | 872 | 20 |
| MS | $674.41 | $321.7K | 477 | 11 |
| KY | $666.61 | $205.3K | 308 | 11 |
| UT | $661.56 | $220.3K | 333 | 8 |
| ID | $649.17 | $114.3K | 176 | 6 |
| IN | $637.76 | $211.1K | 331 | 9 |
| LA | $630.80 | $324.2K | 514 | 12 |
| MO | $628.48 | $208.0K | 331 | 11 |
| AL | $597.77 | $395.1K | 661 | 10 |
| NC | $542.82 | $116.2K | 214 | 7 |
| DE | $523.60 | $103.1K | 197 | 2 |
| RI | $453.17 | $68.0K | 150 | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mcgee Eye Surgery Center Llc | Ambulatory Surgical Center | OK | $314.2K | 225 | $1396.27 |
| 90210 Surgery Medical Center, Llc | Ambulatory Surgical Center | CA | $278.1K | 168 | $1655.10 |
| Specialty Surgical Center, Llc | Ambulatory Surgical Center | CA | $249.3K | 220 | $1133.06 |
| River Drive Surgery Center, Llc | Ambulatory Surgical Center | NJ | $230.2K | 200 | $1150.92 |
| North Valley Surgery Center Llc | Ambulatory Surgical Center | CA | $225.3K | 213 | $1057.88 |
| Sutter Valley Medical Foundation | Ambulatory Surgical Center | CA | $186.9K | 137 | $1364.11 |
| Laser & Surgical Services At Center For Sight Llc | Ambulatory Surgical Center | FL | $185.6K | 230 | $807.10 |
| The Surgical Suites Llc | Ambulatory Surgical Center | HI | $183.2K | 130 | $1409.11 |
| St Marks Surgical Center Llc | Ambulatory Surgical Center | FL | $175.9K | 122 | $1442.21 |
| Dulaney Eye Institute, Llc | Ambulatory Surgical Center | MD | $162.2K | 125 | $1297.92 |
| Alvarado Eye Surgery Center Llc | Ambulatory Surgical Center | CA | $161.8K | 91 | $1778.14 |
| Skyway Surgery Center. Llc | Ambulatory Surgical Center | CA | $151.1K | 124 | $1218.73 |
| Del Val Asc Llc | Ambulatory Surgical Center | PA | $150.0K | 115 | $1303.99 |
| Douglas Mcgraw | Ophthalmology | CA | $149.9K | 465 | $322.45 |
| St George Surgical Center Lp | Ambulatory Surgical Center | UT | $149.6K | 146 | $1024.35 |
| Southpoint Surgery Center, Llc | Ambulatory Surgical Center | FL | $148.6K | 107 | $1388.60 |
| Chevy Chase Ambulatory Center Lp | Ambulatory Surgical Center | CA | $139.8K | 81 | $1725.38 |
| Eye Surgery Center Of North Alabama, Inc. | Ambulatory Surgical Center | AL | $136.9K | 186 | $736.02 |
| Knoxville Eye Surgery Center Llc | Ambulatory Surgical Center | TN | $130.5K | 100 | $1304.93 |
| Rockville Eye Surgery Center, Llc | Ambulatory Surgical Center | MD | $128.4K | 107 | $1200.45 |
The data suggests significant pricing inconsistencies for CPT 66174. With a 2.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 20.7% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.