CPT 65855 Surgery - Eye

How Much Does Trabeculoplasty Laser Surgical Cost?

Also known as: Trabeculoplasty laser surg (CPT 65855)

Laser treatment for open-angle glaucoma (selective laser trabeculoplasty - SLT).

The total estimated cost of Trabeculoplasty Laser Surgical (CPT 65855) is $411 to $668, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $171.

Total Estimated Cost of Care

$411 — $668

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$171
Hospital Facility Fee
$343
Important: The physician fee of $171 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$171
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$246
Non-facility setting

Patient Guide: Trabeculoplasty Laser Surgical

What you need to know before your appointment

What to Expect

After numbing your eye, a gentle laser is applied to the drainage area to improve fluid outflow and lower eye pressure.

How Long Does It Take?

5-10 minutes per eye

Common Reasons Doctors Order This

Open-angle glaucoma, glaucoma not controlled by eye drops, intolerance to glaucoma eye drops

How to Prepare

Continue your regular eye drops. Bring sunglasses. Arrange a driver. Follow-up pressure check in 4-6 weeks.

Procedures Commonly Done Together

These procedures are frequently performed alongside Trabeculoplasty laser surg

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How to Reduce Your Cost for Trabeculoplasty laser surg

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($246) differs from the facility rate ($171). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.93
Work RVU
1.98
Practice Expense RVU
0.22
Malpractice RVU
7.35
Total RVU

Payment = Total RVU (7.35) x CF ($33.40) = $245

Frequently Asked Questions

How much does Trabeculoplasty laser surg cost?

The Medicare facility rate for Trabeculoplasty laser surg is $171. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Trabeculoplasty laser surg cost without insurance?

Without insurance, the cost of Trabeculoplasty laser surg can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Trabeculoplasty laser surg?

Most commercial health insurance plans and Medicare cover Trabeculoplasty laser surg when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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