CPT 67800

Excision Chalazion Single

CPT 67800 pays $130.60 in a non-facility setting and $86.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $117.37 in Arkansas to $157.10 in Alaska, a 34% spread.

National non-facility rate

$130.60

Office and other outpatient settings

Facility rate
$86.84

Hospital and ASC settings

Highest state
$157.10

Alaska

Lowest state
$117.37

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 $130.60
CPT 67800 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $130.60, national facility $86.84.
StateRate compared visuallyNon-facilityFacility
Alaska
$157.10$110.50
District of Columbia
$147.93$96.39
California
$145.43$93.66
New Jersey
$143.48$94.22
New York
$143.47$94.66
Washington
$142.63$92.75
Massachusetts
$141.35$92.19
Hawaii
$140.17$90.42
Connecticut
$138.53$91.41
Colorado
$135.54$88.98
Maryland
$134.93$89.31
Florida
$134.35$90.45
Oregon
$134.29$88.19
Rhode Island
$133.75$88.55
New Hampshire
$133.47$87.92
Puerto Rico
$131.44$87.20
Virgin Islands
$131.44$87.20
Illinois
$131.37$89.09
Montana
$130.59$86.83
Minnesota
$130.36$85.34
Nevada
$130.07$86.27
Wyoming
$129.64$85.89
Pennsylvania
$129.60$86.74
Delaware
$129.48$86.25
Texas
$129.33$86.25
North Dakota
$128.42$84.66
South Dakota
$128.16$84.40
Virginia
$128.14$85.13
Vermont
$127.97$84.65
Georgia
$127.65$85.91
Arizona
$127.55$85.15
Michigan
$127.14$86.06
Maine
$125.61$83.81
Utah
$125.35$84.22
Wisconsin
$124.65$82.73
New Mexico
$124.60$84.48
South Carolina
$123.88$83.45
Missouri
$123.86$83.70
North Carolina
$123.83$83.01
Louisiana
$123.71$83.76
Ohio
$123.57$83.62
Indiana
$122.78$82.22
Idaho
$122.17$81.91
Nebraska
$122.06$81.68
West Virginia
$121.55$83.53
Tennessee
$121.51$81.74
Iowa
$121.48$81.45
Kentucky
$121.28$82.38
Oklahoma
$121.09$82.02
Kansas
$120.98$81.43
Alabama
$118.86$80.57
Mississippi
$118.36$80.68
Arkansas
$117.37$79.79

Billed by 1 specialties

Commercial rates for 67800

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

See negotiated rates