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Opening a Clouded Membrane Behind the Lens

North Dakota rates for HCPCS 66820

After cataract surgery the thin membrane that holds the artificial lens in place can turn cloudy and blur vision again. This procedure clears it by making a tiny puncture in the eye and using a fine blade to open the membrane so light passes through freely.

Rates data updated October 2026.

How much does Opening a Clouded Membrane Behind the Lens cost?

$1,268

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $1,268 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $437 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$708 to $977
Facility feeThe hospital or surgery center$437$251 to $437

How much rates vary

Facilitymedian $437 · 10th to 90th $126 to $759Professionalmedian $832 · 10th to 90th $437 to $1,148
$100$200$500$1K$2K$5Kfacility $437professional $832

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$436.52
Typical High
$501.19
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$933.25
Typical High
$1,122.02
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,348.96
BCBS North Dakota
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,698.24
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$512.86
Median
$645.65
Typical High
$794.33
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$74.13
Median
$93.33
Typical High
$112.20
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$549.54
Median
$691.83
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$1,023.29
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$269.15
Typical High
$758.58
Medica
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$741.31
Typical High
$1,023.29
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$251.19
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$741.31
Typical High
$870.96

Where North Dakota sits

The same service costs 5.4 times more in Alaska than in West Virginia. 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.

Physician feeFacility fee

North Dakota· 40th of 51

$1,268

$832 physician + $437 facility

AK $4,660WV $864

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.