Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 67830 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rep Trichiasis W Inc Lid Margin
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None E1 - Upper left, eyelid RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67830 |
| Medicaid Fee Schedule | View Medicaid rates for 67830 |
National average reimbursement for CPT 67830 by major payers:
$316.69
$350.54
$370.57
$437.10
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 67830.
CPT 67830
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$3,776.00Published rateDoctors Outpatient Center For Surgery, LLC
Doctors Outpatient Center For Surgery LLC
$1,322.00Published rateDmg Pain Management Surgery Center, LLC
Dmg Pain Management Surgery Center LLC
$1,137.00Published ratePiedmont Outpatient Surgery Center, LLC
Piedmont Outpatient Surgery Center LLC
$729.00Published rateBritni Roark
Deaconess Hospital Inc
$217.27Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 67830 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67830 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 67830 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 67825-CPT | Low | Correct Of Trichiasi; Epilation By Other Than Forcps (Eg By Elec, Correction Of Trichiasis; Epilation By Other Than Forceps (Eg By Elec |
| 67830-CPT | Moderate | Rep Trichiasis W Inc Lid Margin |
| 67835-CPT | Moderate | Correct Of Trichiasi; Ncision Of Lid Margin W/ Free Mucous Mem, Correction Of Trichiasis; Incision Of Lid Margin With Free Mucous Mem |
| 67840-CPT | Moderate | Xcision Of Lesion Of Eyelid (Excpt Chalazion) W/O Closur Or Wit, Excision Of Lesion Of Eyelid (Except Chalazion) Without Closure Or Wit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67830 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 67830) and we'll show you how you compare in 15 minutes or less.