Insertion of probe into nasal tear duct
Medicare pricing data for 1,821 providers across 48 states
Prices vary significantly by location — from $103 in North Dakota to $244 in Washington. Where you get this procedure matters more than almost any other factor. 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
Insertion of probe into nasal tear duct (HCPCS code 68810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $209.49, but hospitals typically charge $631.95 — a 3.0x 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 $209.49, your out-of-pocket cost would be approximately $41.90. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $159.40 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Washington | $244 | $549 | 30 | 118 | +16.4% |
| New York | $242 | $699 | 128 | 1,462 | +15.6% |
| District of Columbia | $240 | $701 | 5 | 84 | +14.6% |
| Connecticut | $239 | $612 | 24 | 139 | +14.2% |
| California | $232 | $665 | 286 | 3,615 | +10.5% |
| Montana | $220 | $744 | 4 | 41 | +5.1% |
| Maryland | $220 | $432 | 34 | 295 | +5.1% |
| Delaware | $218 | $309 | 7 | 263 | +4.0% |
| New Jersey | $215 | $610 | 78 | 354 | +2.7% |
| Massachusetts | $214 | $572 | 38 | 355 | +2.1% |
| Illinois | $208 | $1,006 | 52 | 242 | -0.5% |
| Michigan | $208 | $957 | 82 | 397 | -0.8% |
| Colorado | $198 | $545 | 36 | 108 | -5.5% |
| Virginia | $196 | $521 | 43 | 149 | -6.4% |
| Pennsylvania | $196 | $552 | 87 | 867 | -6.5% |
| Puerto Rico | $195 | $360 | 7 | 56 | -7.0% |
| Florida | $194 | $530 | 134 | 1,002 | -7.3% |
| Rhode Island | $191 | $673 | 7 | 13 | -8.8% |
| Arizona | $190 | $495 | 34 | 218 | -9.1% |
| Missouri | $189 | $458 | 28 | 97 | -10.0% |
| Wisconsin | $188 | $1,294 | 18 | 97 | -10.4% |
| Minnesota | $186 | $686 | 21 | 47 | -11.1% |
| Indiana | $186 | $569 | 19 | 54 | -11.1% |
| North Carolina | $185 | $554 | 43 | 269 | -11.9% |
| Oregon | $182 | $809 | 22 | 151 | -13.0% |
| Georgia | $182 | $661 | 42 | 130 | -13.1% |
| New Hampshire | $180 | $597 | 5 | 25 | -13.9% |
| South Dakota | $180 | $407 | 7 | 15 | -14.0% |
| Texas | $178 | $638 | 124 | 687 | -14.9% |
| South Carolina | $178 | $557 | 32 | 80 | -15.2% |
| Kentucky | $176 | $632 | 19 | 121 | -15.9% |
| Tennessee | $174 | $450 | 30 | 223 | -16.9% |
| Kansas | $174 | $435 | 6 | 20 | -17.0% |
| Ohio | $173 | $521 | 39 | 139 | -17.3% |
| West Virginia | $172 | $500 | 4 | 15 | -17.8% |
| Alabama | $171 | $346 | 33 | 147 | -18.6% |
| Arkansas | $170 | $390 | 10 | 50 | -18.8% |
| Utah | $170 | $603 | 25 | 112 | -18.9% |
| Louisiana | $169 | $875 | 35 | 427 | -19.2% |
| Oklahoma | $167 | $428 | 25 | 52 | -20.3% |
| New Mexico | $167 | $444 | 9 | 41 | -20.4% |
| Nevada | $166 | $484 | 24 | 75 | -20.6% |
| Iowa | $165 | $414 | 10 | 14 | -21.2% |
| Mississippi | $163 | $457 | 20 | 37 | -22.4% |
| Idaho | $162 | $414 | 17 | 65 | -22.7% |
| Nebraska | $154 | $449 | 14 | 30 | -26.6% |
| Hawaii | $138 | $854 | 7 | 33 | -34.3% |
| North Dakota | $103 | $590 | 4 | 21 | -50.6% |
⚠️ 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