CPT 15823

Blepharoplasty Upper Eyelid W/Excessive Skin

CPT 15823 pays $632.95 in a non-facility setting and $481.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $568.31 in Arkansas to $760.61 in Alaska, a 34% spread.

National non-facility rate

$632.95

Office and other outpatient settings

Facility rate
$481.64

Hospital and ASC settings

Highest state
$760.61

Alaska

Lowest state
$568.31

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 $632.95
CPT 15823 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $632.95, national facility $481.64.
StateRate compared visuallyNon-facilityFacility
Alaska
$760.61$599.47
District of Columbia
$716.85$538.61
California
$703.83$524.80
New York
$695.72$526.92
New Jersey
$695.33$524.96
Washington
$690.70$518.21
Massachusetts
$684.62$514.63
Hawaii
$678.47$506.43
Connecticut
$671.62$508.66
Colorado
$656.44$495.45
Maryland
$653.98$496.25
Florida
$652.59$500.78
Oregon
$650.33$490.92
Rhode Island
$648.00$491.70
New Hampshire
$646.59$489.08
Illinois
$638.15$491.95
Puerto Rico
$636.97$484.00
Virgin Islands
$636.97$484.00
Montana
$632.91$481.60
Minnesota
$630.67$474.98
Nevada
$630.10$478.65
Pennsylvania
$628.25$480.04
Wyoming
$627.91$476.60
Delaware
$627.40$477.91
Texas
$626.72$477.76
North Dakota
$621.44$470.13
Virginia
$620.59$471.86
South Dakota
$620.08$468.78
Vermont
$619.46$469.67
Georgia
$619.06$474.72
Arizona
$618.01$471.40
Michigan
$616.94$474.87
Maine
$608.28$463.70
Utah
$607.46$465.24
New Mexico
$604.32$465.57
Wisconsin
$603.09$458.13
Missouri
$600.39$461.54
South Carolina
$600.26$460.46
Louisiana
$599.77$461.63
North Carolina
$599.70$458.53
Ohio
$599.02$460.87
Indiana
$594.39$454.13
Idaho
$591.39$452.19
Nebraska
$590.73$451.07
West Virginia
$589.97$458.49
Tennessee
$588.32$450.79
Iowa
$587.96$449.52
Kentucky
$587.81$453.30
Oklahoma
$586.71$451.59
Kansas
$585.73$448.95
Alabama
$575.57$443.17
Mississippi
$573.43$443.16
Arkansas
$568.31$438.34

Billed by 1 specialties

Commercial rates for 15823

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

See negotiated rates