CPT 66170 Surgery - Eye

How Much Does Glaucoma Surgery Cost?

Also known as: Glaucoma surgery (CPT 66170)

Trabeculectomy surgery to lower eye pressure in glaucoma.

The total estimated cost of Glaucoma Surgery (CPT 66170) is $2,365 to $3,842, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $938.

Total Estimated Cost of Care

$2,365 — $3,842

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

Surgeon/Physician Fee
$938
Hospital Facility Fee
$1,876
Anesthesia (est.)
$141
Important: The physician fee of $938 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)
$938
Physician component only — CMS PFS 2026

Patient Guide: Glaucoma Surgery

What you need to know before your appointment

What to Expect

Under local anesthesia, the surgeon creates a small opening in the eye wall to allow excess fluid to drain, lowering eye pressure.

How Long Does It Take?

30-60 minutes

Common Reasons Doctors Order This

Glaucoma not controlled by eye drops or laser, high eye pressure, progressive vision loss from glaucoma

How to Prepare

Use prescribed eye drops before surgery. Arrange a driver. Multiple follow-up visits are needed. Avoid heavy lifting and bending for weeks.

Procedures Commonly Done Together

These procedures are frequently performed alongside Glaucoma surgery

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How to Reduce Your Cost for Glaucoma surgery

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

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 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.

13.59
Work RVU
13.41
Practice Expense RVU
1.09
Malpractice RVU
28.09
Total RVU

Payment = Total RVU (28.09) x CF ($33.40) = $938

Frequently Asked Questions

How much does Glaucoma surgery cost?

The Medicare facility rate for Glaucoma surgery is $938. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Glaucoma surgery cost without insurance?

Without insurance, the cost of Glaucoma surgery 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 Glaucoma surgery?

Most commercial health insurance plans and Medicare cover Glaucoma surgery 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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