How much does Medicare pay for CPT 67825?

Medicare allowed an average of $118.64 per service and paid $91.30 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $287.87, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 67825?

Removal of eyelashes. It was billed 1,921 times to 1,246 Medicare beneficiaries by 41 providers in 2024.

Does 67825 pay differently in an office than a hospital?

Yes. The allowed amount averaged $156.26 in an office setting and $65.80 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 67825 most?

Ophthalmology, with 1,376 services from 38 clinicians. Next are Ambulatory Surgical Center, Optometry.

CPT 67825

Removal of eyelashes

$118.64Medicare-allowed amount per service, averaged across 1,921 services

Providers submitted

$287.87

Asking price, not received

Medicare allowed

$118.64

The fee schedule figure

Medicare paid

$91.30

Balance is patient coinsurance

Providers submitted an average of $287.87 for this code and Medicare allowed $118.64 — 2.4× 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 $91.30 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $156.26
Hospital / facility: $65.80

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 1,122 services were billed in an office setting and 799 in a facility.

Services: 1,921
Beneficiaries: 1,246
Providers billing it: 41
Total allowed: $227,907

What Medicare pays for CPT 67825

Across 1,921 services billed by 41 providers to 1,246 beneficiaries, Medicare allowed an average of $118.64 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 67825

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	1,376	973	$145.93	38
Ambulatory Surgical Center	527	261	$46.78	2
Optometry	18	12	$136.11	1

67825 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	1,145	$94.30	$66.28	15
Florida	270	$180.54	$139.48	4
North Carolina	52	$102.94	$81.41	2
Virginia	49	$131.04	$97.20	1
Illinois	47	$150.90	$106.64	2
Georgia	42	$137.32	$101.94	2
Louisiana	38	$144.38	$121.19	1
Nevada	33	$135.42	$104.96	1
Washington	30	$153.96	$99.71	2
New York	29	$147.07	$87.36	1
Tennessee	28	$132.32	$103.95	1
Maryland	20	$164.14	$98.47	1
Arizona	20	$157.78	$110.60	1
South Carolina	20	$115.33	$86.93	1
Michigan	18	$201.32	$157.61	1
Colorado	18	$136.11	$97.45	1
Kentucky	17	$148.18	$119.83	1
Oregon	16	$143.94	$101.64	1
New Mexico	16	$129.41	$102.15	1
Texas	13	$176.71	$129.11	1

Related codes

67820Removal of eyelashes$19.86
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

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.