CPT 15820

Blepharoplasty Lower Eyelid

CPT 15820 pays $588.19 in a non-facility setting and $450.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $528.52 in Arkansas to $706.96 in Alaska, a 34% spread.

National non-facility rate

$588.19

Office and other outpatient settings

Facility rate
$450.58

Hospital and ASC settings

Highest state
$706.96

Alaska

Lowest state
$528.52

Arkansas · 34% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $588.19
CPT 15820 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $588.19, national facility $450.58.
StateRate compared visuallyNon-facilityFacility
Alaska
$706.96$560.40
District of Columbia
$666.54$504.43
California
$655.62$492.79
New Jersey
$646.40$491.45
New York
$646.18$492.66
Washington
$642.77$485.89
Massachusetts
$636.95$482.35
Hawaii
$631.87$475.40
Connecticut
$623.98$475.77
Colorado
$610.68$464.27
Maryland
$607.73$464.27
Oregon
$605.08$460.11
Florida
$604.59$466.52
Rhode Island
$602.48$460.33
New Hampshire
$601.28$458.02
Puerto Rico
$592.00$452.87
Virgin Islands
$592.00$452.87
Illinois
$591.09$458.12
Montana
$588.16$450.55
Minnesota
$587.58$445.97
Nevada
$585.88$448.13
Wyoming
$584.02$446.41
Pennsylvania
$583.59$448.80
Delaware
$583.17$447.21
Texas
$582.47$446.99
North Dakota
$578.67$441.05
South Dakota
$577.54$439.93
Virginia
$577.22$441.95
Vermont
$576.59$440.35
Georgia
$574.71$443.43
Arizona
$574.47$441.13
Michigan
$572.27$443.05
Maine
$565.82$434.33
Utah
$564.47$435.11
Wisconsin
$561.64$429.80
New Mexico
$560.86$434.67
South Carolina
$557.81$430.66
North Carolina
$557.74$429.35
Missouri
$557.63$431.35
Louisiana
$556.92$431.28
Ohio
$556.30$430.66
Indiana
$553.08$425.51
Idaho
$550.29$423.69
Nebraska
$549.88$422.86
Tennessee
$547.27$422.18
Iowa
$547.24$421.32
West Virginia
$546.88$427.30
Kentucky
$545.97$423.63
Oklahoma
$545.23$422.34
Kansas
$544.90$420.50
Alabama
$535.22$414.81
Mississippi
$532.84$414.36
Arkansas
$528.52$410.31

Billed by 2 specialties

Commercial rates for 15820

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates