Cost analysis for CPT 15823 — Removal of excessive skin and fat of upper eyelid
Average Medicare Payment
$570.26
2023 data
Total Payments (2023)
$51.0M
Services (2023)
94.7K
Price Change (2014–2023)
+3.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $549.80 | $47.1M | 92.6K | — |
| 2015 | $535.14 | $45.3M | 90.5K | -2.7% |
| 2016 | $552.03 | $47.8M | 91.3K | +3.2% |
| 2017 | $536.70 | $45.0M | 89.5K | -2.8% |
| 2018 | $560.14 | $49.4M | 93.2K | +4.4% |
| 2019 | $546.61 | $49.3M | 97.3K | -2.4% |
| 2020 | $552.43 | $35.1M | 67.9K | +1.1% |
| 2021 | $587.06 | $47.1M | 84.4K | +6.3% |
| 2022 | $583.20 | $51.1M | 91.7K | -0.7% |
| 2023 | $570.26 | $51.0M | 94.7K | -2.2% |
The most expensive state pays 1.4x more than the cheapest for this procedure. CA averages $645.87 vs MS at $459.98.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $645.87 | $5.9M | 9.2K | 192 |
| MA | $607.49 | $894.2K | 1.5K | 36 |
| CT | $599.31 | $262.5K | 438 | 14 |
| OR | $587.20 | $664.1K | 1.1K | 32 |
| WV | $569.35 | $90.5K | 159 | 7 |
| AK | $568.20 | $57.4K | 101 | 4 |
| NY | $567.83 | $989.7K | 1.7K | 41 |
| WA | $564.42 | $1.7M | 2.9K | 42 |
| IL | $563.99 | $789.0K | 1.4K | 37 |
| HI | $559.08 | $147.0K | 263 | 9 |
| KY | $553.48 | $344.8K | 623 | 16 |
| VT | $552.69 | $103.9K | 188 | 2 |
| DE | $547.00 | $422.3K | 772 | 7 |
| WI | $545.66 | $542.4K | 994 | 28 |
| IN | $543.74 | $565.5K | 1.0K | 20 |
| NH | $543.64 | $288.1K | 530 | 10 |
| NV | $543.18 | $401.4K | 739 | 12 |
| MD | $537.81 | $944.4K | 1.8K | 34 |
| MI | $537.20 | $1.3M | 2.4K | 54 |
| NJ | $534.59 | $363.5K | 680 | 20 |
| VA | $534.30 | $863.4K | 1.6K | 25 |
| TX | $533.88 | $3.3M | 6.2K | 121 |
| MN | $530.72 | $1.0M | 2.0K | 42 |
| FL | $530.29 | $6.5M | 12.3K | 181 |
| AZ | $527.52 | $2.2M | 4.2K | 44 |
| MO | $526.37 | $999.6K | 1.9K | 35 |
| CO | $525.78 | $951.1K | 1.8K | 35 |
| NC | $525.16 | $2.1M | 4.1K | 53 |
| NE | $524.83 | $576.3K | 1.1K | 11 |
| IA | $523.91 | $675.8K | 1.3K | 23 |
| GA | $521.40 | $1.5M | 2.8K | 62 |
| PA | $521.12 | $1.5M | 2.8K | 71 |
| SC | $516.00 | $1.3M | 2.5K | 39 |
| LA | $514.64 | $489.4K | 951 | 20 |
| MT | $512.23 | $306.3K | 598 | 13 |
| ME | $508.29 | $195.7K | 385 | 6 |
| OK | $507.87 | $1.4M | 2.7K | 35 |
| SD | $507.10 | $556.8K | 1.1K | 11 |
| OH | $506.80 | $1.6M | 3.2K | 46 |
| KS | $496.84 | $653.8K | 1.3K | 31 |
| ID | $494.63 | $326.5K | 660 | 18 |
| AR | $493.45 | $803.3K | 1.6K | 17 |
| AL | $491.30 | $601.8K | 1.2K | 24 |
| TN | $490.26 | $1.9M | 3.9K | 58 |
| ND | $478.42 | $271.7K | 568 | 10 |
| UT | $466.07 | $482.8K | 1.0K | 22 |
| MS | $459.98 | $883.6K | 1.9K | 35 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| St Marks Surgical Center Llc | Ambulatory Surgical Center | FL | $441.3K | 902 | $489.29 |
| Wilmington Eye Surgery Center, Llc | Ambulatory Surgical Center | NC | $383.1K | 845 | $453.41 |
| The Aesthetic Surgery Centre, Pllc | Ambulatory Surgical Center | WA | $304.8K | 556 | $548.16 |
| Surgery Center Of California -Llc | Ambulatory Surgical Center | CA | $251.8K | 426 | $591.01 |
| Careos Surgicenter, Llc | Ambulatory Surgical Center | TX | $249.4K | 573 | $435.32 |
| Arizona Eye Institute & Cosmetic Laser Center Llc | Ambulatory Surgical Center | AZ | $238.3K | 457 | $521.34 |
| Physicians Eye Surgery Center Llc | Ambulatory Surgical Center | SC | $205.5K | 426 | $482.37 |
| Laser & Surgical Services At Center For Sight Llc | Ambulatory Surgical Center | FL | $200.5K | 400 | $501.16 |
| Oklahoma Outpatient Surgery Limited Partnership | Ambulatory Surgical Center | OK | $191.3K | 428 | $446.88 |
| Green Valley Surgery Center Llc | Ambulatory Surgical Center | NV | $180.2K | 351 | $513.51 |
| Beltway Surgery Centers Llc | Ambulatory Surgical Center | IN | $166.8K | 327 | $509.99 |
| Surgery Center Of Gilbert Llc | Ambulatory Surgical Center | AZ | $165.3K | 376 | $439.53 |
| Delaware Surgery Center, Llc | Ambulatory Surgical Center | DE | $164.1K | 313 | $524.33 |
| Doctors Outpatient Surgery Center, Llc | Ambulatory Surgical Center | FL | $156.9K | 320 | $490.24 |
| Stephen Laquis | Ophthalmology | FL | $156.0K | 245 | $636.55 |
| Chesapeake Eye Surgery Center, Llc | Ambulatory Surgical Center | MD | $154.7K | 302 | $512.28 |
| The Eye Surgery Center Of The Carolinas Lp | Ambulatory Surgical Center | NC | $151.4K | 333 | $454.65 |
| Nebraska Surgery Center Llc | Ambulatory Surgical Center | NE | $151.1K | 325 | $464.87 |
| Cei Physicians Psc Llc | Ambulatory Surgical Center | OH | $144.3K | 295 | $489.23 |
| California Medical Surgery Center Llc | Ambulatory Surgical Center | CA | $141.4K | 255 | $554.34 |
Based on the data, CPT 15823 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 3.7% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.