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Complex Cataract Surgery With Iris Support & Drainage Device

South Dakota rates for HCPCS 66989

This procedure removes a cloudy lens (cataract) and replaces it with an artificial lens, while also using extra devices or techniques to hold the pupil open or support the iris, the colored ring around the pupil. In the same visit, the surgeon places a small drainage device to help control eye pressure, addressing glaucoma at the same time as the cataract. It's used when the pupil won't widen enough on its own, the iris is unstable, or eye pressure also needs to be managed surgically.

Rates data updated July 2026.

How much does Complex Cataract Surgery With Iris Support & Drainage Device cost?

$3,487

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $3,487 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $2,042 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$832 to $1,995
Facility feeThe hospital or surgery center$2,042$832 to $4,467

How much rates vary

Facilitymedian $2,042 · 10th to 90th $741 to $5,623Professionalmedian $1,445 · 10th to 90th $741 to $2,512
$1K$2K$5K$10Kfacility $2,042professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$831.76
Median
$4,365.16
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$112.20
Median
$134.90
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$2,454.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$1,819.70

Where South Dakota sits

The same service costs 9.1 times more in Indiana 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

South Dakota· 44th of 50

$3,487

$1,445 physician + $2,042 facility

IN $16,007WV $1,763

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.