Updated on 

April 21, 2022

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Cataract Surgery Cost

Without insurance, the average cost of cataract surgery is between $3,500 and $7,000 per eye in the United States.

However, Medicare and private insurance plans often cover all, or a portion of the costs.

This can reduce your out-of-pocket expenses by 80 percent or more.

The main factors that affect the price of cataract surgery include:

  • The type of IOL (intraocular lens) implanted in your eye
  • The technology used in the surgery 
  • The cataract surgeon’s pricing
  • Whether it is an outpatient procedure or it requires a hospital stay
  • Pre and post-operative visits, testing, and medication
  • Regional pricing variance

These variables will affect the on-paper cost of your cataract surgery.

But the biggest factor in determining your out-of-pocket cost is your health insurance coverage.

Does Medicare Cover Cataract Surgery?

Yes, basic cataract surgery is covered by Medicare. Your doctor or ophthalmologist must determine that the surgery is medically necessary for your health.

Medicare typically covers 80 percent of expenses related to cataract surgery. It also covers one pair of eyeglasses or contact lenses after the eye surgery.

Medicare Part A covers hospital stays and other inpatient procedure costs. Most cataract surgeries will not require the patient to remain overnight. But if yours does, your hospital expenses should be covered by Part A.

Medicare Part B covers medically necessary health care procedures and services.

Part B will cover:

  • Your presurgery appointments
  • The surgical procedure
  • Monofocal lenses
  • Post-surgery outpatient services.

Here are some things to take into consideration regarding Medicare coverage:

  • You will be required to pay your deductible and copayment
  • Monofocal IOLs are covered by Medicare
  • If you want premium IOLs, you will have to pay the difference these include:
    • Presbyopia-correcting intraocular lenses (P-C IOLs) 
    • Astigmatism-correcting IOLs (A-C IOLs)
    • Multifocal lens implants

These services can double or triple out-of-pocket expenses.

It is possible to purchase a “Medigap” insurance policy from a private health insurance company. These plans are meant to provide supplemental coverage for health services not covered by Medicare. They often cover premium cataract eye surgery. 

Speak directly with your Medicare representative before having cataract surgery to determine the total cost of your operation.

Does Private Insurance Cover Cataract Surgery?

Most health insurance providers consider cataract surgery to be medically necessary. Therefore they will cover at least a portion of the costs associated.

Cigna, Aetna, United Healthcare, and other smaller insurance providers will all cover a significant part of your cataract surgery.

Speak directly with your healthcare provider to find out what is covered by your plan.

Questions To Ask Your Healthcare Provider About Cataract Surgery

Policies vary widely from one insurance provider to the next.

Here are some questions you should ask your health care representative regarding cataract surgery:

  • How much is my deductible?
  • How much is my co-pay?
  • Does my plan pay for prescription eyeglasses after surgery?
  • Are you a “preferred provider” for any eye surgeons or surgery centers?
  • If my eye surgeon is not a “preferred provider” do I need to get your approval before covering the procedure?
  • Do you require advanced approval from a doctor to validate the medical necessity of my surgery?
7 Cited Research Articles
  1. Centers for Medicare and Medicaid Services. MEDICARE VISION SERVICES. https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/visionservices_factsheet_icn907165.pdf.
  2. Ma, Yingyan et al. “Cost-Utility Analyses of Cataract Surgery in Advanced Age-Related Macular Degeneration.” Optometry and vision science : official publication of the American Academy of Optometry vol. 93,2 : 165-72. doi:10.1097/OPX.0000000000000772
  3. History of Cataract Surgery.” EyeWiki, 19 Mar. 2020, www.eyewiki.aao.org/History_of_Cataract_Surgery.
  4. Boyd, Kierstan. “Cataract Surgery.” American Academy of Ophthalmology, 15 May 2020, www.aao.org/eye-health/diseases/what-is-cataract-surgery
  5. “MIPS 2019-Cost: The Routine Cataract Surgery With IOL Implantation Measure.” American Academy of Ophthalmology, 18 May 2019, www.aao.org/eyenet/article/mips-2019-cost-routine-cataract-surgery-with-iol
  6. Venkatesh, Rengaraj, et al. “Carbon Footprint and Cost–Effectiveness of Cataract Surgery.” Current Opinion in Ophthalmology, vol. 27, no. 1, 2016, pp. 82–88., doi:10.1097/icu.0000000000000228.
  7. Nandigam, Kiran, et al. “Cost Analysis of Objective Resident Cataract Surgery Assessments.” Journal of Cataract & Refractive Surgery, vol. 41, no. 5, 2015, pp. 997–1003., doi:10.1016/j.jcrs.2014.08.041.
Melody Huang is an optometrist and freelance health writer. Through her writing, Dr. Huang enjoys educating patients on how to lead healthier and happier lives. She also has an interest in Eastern medicine practices and learning about integrative medicine. When she’s not working, Dr. Huang loves reviewing new skin care products, trying interesting food recipes, or hanging with her adopted cats.
Michael is the content strategist and a lead content writer for Vision Center. With eight years of experience in the world of content strategy and creation, Michael specializes in medical copywriting and advanced research methodologies.
Author: Michael Bayba  | UPDATED April 21, 2022
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Medical reviewer: Dr. Melody Huang, O.D.
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Dr. Melody Huang, O.D.
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The information provided on VisionCenter.org should not be used in place of actual information provided by a doctor or a specialist.

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