How much does Medicare pay for CPT 67820?

Medicare allowed an average of $19.86 per service and paid $14.53 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $124.23, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 67820?

Removal of eyelashes using forceps. It was billed 64,681 times to 42,528 Medicare beneficiaries by 1,925 providers in 2024.

Does 67820 pay differently in an office than a hospital?

Yes. The allowed amount averaged $19.80 in an office setting and $25.17 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 67820 most?

Ophthalmology, with 46,841 services from 1,345 clinicians. Next are Optometry, Physician Assistant, Plastic and Reconstructive Surgery.

CPT 67820

Removal of eyelashes using forceps

$19.86Medicare-allowed amount per service, averaged across 64,681 services

Providers submitted

$124.23

Asking price, not received

Medicare allowed

$19.86

The fee schedule figure

Medicare paid

$14.53

Balance is patient coinsurance

Providers submitted an average of $124.23 for this code and Medicare allowed $19.86 — 6.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $14.53 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $19.80
Hospital / facility: $25.17

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 63,976 services were billed in an office setting and 705 in a facility.

Services: 64,681
Beneficiaries: 42,528
Providers billing it: 1,925
Total allowed: $1,284,565

What Medicare pays for CPT 67820

Across 64,681 services billed by 1,925 providers to 42,528 beneficiaries, Medicare allowed an average of $19.86 per service. That is 1.5 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 67820

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	46,841	30,608	$20.06	1,345
Optometry	17,709	11,822	$19.36	574
Physician Assistant	114	83	$16.22	5
Plastic and Reconstructive Surgery	17	15	$12.89	1

67820 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	15,830	$21.08	$14.42	346
Florida	12,039	$19.25	$13.86	307
New York	4,465	$21.30	$14.13	132
Pennsylvania	2,646	$19.74	$14.24	88
Texas	2,342	$19.12	$13.80	96
New Jersey	2,287	$20.37	$13.61	72
Georgia	1,908	$19.03	$14.22	46
Arizona	1,863	$19.34	$14.34	55
North Carolina	1,862	$18.29	$13.69	64
Virginia	1,332	$19.01	$13.28	57
Tennessee	1,153	$18.96	$13.80	41
Arkansas	1,050	$17.95	$13.58	28
South Carolina	1,018	$18.94	$13.76	35
Louisiana	1,000	$18.80	$14.26	25
Illinois	977	$19.87	$14.05	39
Massachusetts	877	$20.53	$13.75	40
Maryland	877	$20.53	$13.78	33
Hawaii	753	$19.49	$13.22	10
Alabama	695	$18.60	$14.68	20
Washington	668	$21.16	$14.52	33
Mississippi	630	$18.34	$13.82	21
Kansas	611	$17.12	$13.04	23
Michigan	602	$19.70	$14.48	27
Nevada	589	$19.87	$13.98	18
Oregon	565	$19.94	$13.84	26
Colorado	556	$18.93	$13.08	21
Indiana	466	$16.85	$12.15	18
Ohio	449	$18.67	$13.88	23
Missouri	445	$19.51	$14.10	18
Connecticut	405	$19.79	$13.81	17
New Hampshire	366	$18.54	$12.13	10
Iowa	354	$18.64	$13.30	14
Utah	348	$18.22	$13.91	12
Kentucky	336	$17.80	$13.03	16
Delaware	300	$19.51	$14.39	8
West Virginia	300	$22.92	$17.13	10
Oklahoma	291	$19.15	$14.09	14
Idaho	270	$21.14	$15.65	9
Wisconsin	221	$17.94	$13.66	8
Montana	189	$19.89	$14.05	10
New Mexico	166	$20.09	$14.91	5
Vermont	90	$19.04	$11.77	5
Minnesota	89	$18.96	$13.38	5
Rhode Island	85	$19.09	$14.07	3
Nebraska	84	$18.55	$13.82	4
Alaska	76	$22.92	$13.43	4
District of Columbia	43	$21.44	$13.74	3
South Dakota	32	$19.63	$13.09	2
Maine	26	$18.60	$11.19	1
Wyoming	20	$17.51	$12.72	1
Puerto Rico	18	$26.73	$21.25	1
North Dakota	17	$18.54	$15.03	1

Related codes

67840Removal of growth of eyelid$253.00
67810Biopsy of eyelid$171.92
67850Destruction of growth of eyelid margin$213.19
67800Removal of chronic growth of eyelid$126.17
67875Temporary closure of eyelids by suture$128.17
67825Removal of eyelashes$118.64

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.