CPT 15822

Blepharoplasty Upper Eyelid

CPT 15822 pays $471.62 in a non-facility setting and $355.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $420.69 in Arkansas to $559.25 in Alaska, a 33% spread.

National non-facility rate

$471.62

Office and other outpatient settings

Facility rate
$355.72

Hospital and ASC settings

Highest state
$559.25

Alaska

Lowest state
$420.69

Arkansas · 33% 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 $471.62
CPT 15822 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $471.62, national facility $355.72.
StateRate compared visuallyNon-facilityFacility
Alaska
$559.25$435.81
District of Columbia
$535.87$399.34
California
$525.41$388.26
New York
$519.88$390.58
New Jersey
$519.14$388.63
Washington
$515.59$383.47
Massachusetts
$511.00$380.79
Hawaii
$506.51$374.73
Connecticut
$501.54$376.72
Colorado
$489.36$366.04
Florida
$488.13$371.84
Maryland
$487.80$366.98
Oregon
$484.61$362.51
Rhode Island
$482.77$363.05
New Hampshire
$482.08$361.42
Illinois
$476.76$364.78
Puerto Rico
$474.73$357.55
Virgin Islands
$474.73$357.55
Montana
$471.59$355.69
Nevada
$469.19$353.18
Minnesota
$468.94$349.68
Pennsylvania
$467.85$354.33
Wyoming
$467.37$351.46
Delaware
$467.06$352.55
Texas
$466.56$352.45
North Dakota
$461.90$346.00
Virginia
$461.62$347.69
Georgia
$461.03$350.46
South Dakota
$460.75$344.85
Vermont
$460.49$345.74
Arizona
$459.81$347.50
Michigan
$459.69$350.86
Maine
$451.94$341.19
Utah
$451.65$342.71
New Mexico
$449.60$343.32
Wisconsin
$447.49$336.45
Missouri
$446.26$339.90
South Carolina
$445.99$338.90
Louisiana
$445.86$340.04
North Carolina
$445.28$337.15
Ohio
$445.22$339.40
Indiana
$440.95$333.51
West Virginia
$438.73$338.01
Idaho
$438.60$331.97
Nebraska
$437.96$330.98
Kentucky
$436.38$333.34
Tennessee
$436.29$330.94
Iowa
$435.83$329.78
Oklahoma
$435.34$331.84
Kansas
$434.23$329.45
Alabama
$426.40$324.99
Mississippi
$424.96$325.17
Arkansas
$420.69$321.13

Billed by 2 specialties

Commercial rates for 15822

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

See negotiated rates