Biopsy of eyelid
Medicare pricing data for 5,302 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Biopsy of eyelid (HCPCS code 67810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $168.62, but hospitals typically charge $441.22 — a 2.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $168.62, your out-of-pocket cost would be approximately $33.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $125.57 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $198 | $479 | 134 | 670 | +17.3% |
| Alaska | $198 | $863 | 8 | 18 | +17.3% |
| New York | $197 | $493 | 366 | 1,957 | +17.1% |
| Connecticut | $191 | $492 | 78 | 330 | +13.3% |
| California | $191 | $437 | 681 | 2,436 | +13.3% |
| Maryland | $187 | $378 | 76 | 200 | +10.9% |
| Rhode Island | $186 | $472 | 14 | 19 | +10.4% |
| District of Columbia | $186 | $371 | 12 | 25 | +10.2% |
| Puerto Rico | $179 | $193 | 7 | 29 | +6.3% |
| Maine | $175 | $408 | 12 | 26 | +4.1% |
| Wyoming | $175 | $446 | 13 | 28 | +3.9% |
| Arizona | $172 | $382 | 155 | 373 | +1.8% |
| New Hampshire | $172 | $425 | 22 | 63 | +1.7% |
| Montana | $171 | $397 | 25 | 117 | +1.6% |
| Illinois | $171 | $522 | 165 | 460 | +1.5% |
| Hawaii | $170 | $405 | 12 | 23 | +0.9% |
| Nevada | $169 | $405 | 38 | 129 | +0.1% |
| Florida | $168 | $388 | 619 | 2,505 | -0.7% |
| Virginia | $166 | $440 | 127 | 353 | -1.8% |
| Colorado | $165 | $537 | 98 | 259 | -2.3% |
| Ohio | $164 | $501 | 111 | 411 | -2.7% |
| Washington | $163 | $399 | 107 | 307 | -3.5% |
| Georgia | $163 | $424 | 159 | 506 | -3.6% |
| Texas | $162 | $465 | 377 | 1,034 | -3.8% |
| Kansas | $162 | $366 | 36 | 115 | -3.9% |
| Delaware | $162 | $462 | 8 | 41 | -4.0% |
| Oregon | $161 | $516 | 78 | 242 | -4.4% |
| North Carolina | $161 | $368 | 186 | 519 | -4.7% |
| Pennsylvania | $161 | $395 | 184 | 655 | -4.7% |
| Oklahoma | $159 | $349 | 44 | 280 | -5.5% |
| New Mexico | $157 | $335 | 20 | 114 | -6.8% |
| Idaho | $157 | $412 | 32 | 79 | -6.8% |
| Minnesota | $156 | $550 | 71 | 180 | -7.6% |
| Massachusetts | $154 | $531 | 150 | 677 | -8.9% |
| Missouri | $153 | $372 | 76 | 185 | -9.1% |
| Alabama | $152 | $310 | 53 | 164 | -9.6% |
| South Carolina | $151 | $396 | 88 | 341 | -10.5% |
| Mississippi | $151 | $570 | 37 | 255 | -10.5% |
| Tennessee | $150 | $373 | 117 | 612 | -11.0% |
| West Virginia | $149 | $377 | 19 | 20 | -11.6% |
| Vermont | $148 | $372 | 13 | 46 | -12.0% |
| Michigan | $148 | $403 | 101 | 247 | -12.4% |
| Kentucky | $146 | $333 | 69 | 371 | -13.4% |
| Indiana | $144 | $444 | 60 | 156 | -14.3% |
| Iowa | $139 | $520 | 43 | 154 | -17.5% |
| Louisiana | $138 | $506 | 59 | 139 | -18.1% |
| Nebraska | $136 | $466 | 30 | 89 | -19.3% |
| Arkansas | $134 | $324 | 50 | 175 | -20.7% |
| Utah | $127 | $351 | 55 | 136 | -25.0% |
| South Dakota | $115 | $195 | 22 | 72 | -31.8% |
| Wisconsin | $114 | $850 | 92 | 201 | -32.3% |
| North Dakota | $112 | $457 | 7 | 12 | -33.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber