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Level 4 Intraocular Procedures

Nationwide rates for APC 5494

Level 4 Intraocular Procedures

Rates data updated October 2026.

How much does Level 4 Intraocular Procedures cost?

$30,200

Typical facility fee. Nationwide, October 2026.

Insurers have agreed to pay about $30,200 for this service. Most negotiated rates run $19,953 to $46,774.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 16 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,200 · 10th to 90th $12,589 to $61,660
$200$1K$5K$20K$100Kfacility $30,200

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$41,686.94
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$34,673.69
Typical High
$64,565.42
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$25,118.86
Typical High
$34,673.69
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$60,255.96
Typical High
$125,892.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$24,547.09
Typical High
$45,708.82
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$46,773.51
Typical High
$72,443.60
Geisinger
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$38,018.94
Typical High
$60,255.96
Health Partners
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$17,782.79
Typical High
$35,481.34
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$47,863.01
Typical High
$64,565.42
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$151.36
Typical High
$281.84
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$38,018.94
Typical High
$50,118.72
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$42,657.95
Typical High
$67,608.30
Providence
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$30,902.95
Typical High
$70,794.58
Quartz
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$38,904.51
Typical High
$60,255.96
Select Health
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$15,488.17
Typical High
$30,199.52
Univera
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$46,773.51
Typical High
$72,443.60

What it costs in each state

The same service costs 234.4 times more in Maine than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Touch or drag across the chart to see any state's rate.

ME $66,069HI $282

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.