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Complex Cataract Surgery With Iris Support & Drainage Device

Wisconsin 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?

$11,852

Typical total for the visit. In Wisconsin, July 2026.

Insurers have agreed to pay about $11,852 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $10,471 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$891 to $2,399
Facility feeThe hospital or surgery center$10,471$7,586 to $13,490

How much rates vary

Facilitymedian $10,471 · 10th to 90th $4,677 to $16,982Professionalmedian $1,380 · 10th to 90th $759 to $4,571
$100$500$2K$10Kfacility $10,471professional $1,380

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,162.28
Typical High
$14,454.40
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$114.82
Median
$128.82
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,659.59
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,754.23
Typical High
$3,162.28
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$6,760.83
Typical High
$13,489.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,137.96
Typical High
$2,454.71
DeanCare
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$316.23
Median
$426.58
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$7,585.78
Typical High
$15,848.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,698.24
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$9,772.37
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,174.90
Typical High
$2,137.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,737.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$2,511.89
Quartz
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$22,387.21
Typical High
$22,387.21
Quartz
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$15,488.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$3,548.13
Typical High
$6,165.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$12,302.69
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$2,290.87
Typical High
$5,128.61

Where Wisconsin 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

Wisconsin· 4th of 50

$11,852

$1,380 physician + $10,471 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.