Closure of tear duct opening using plug
Medicare pricing data for 15,481 providers across 52 states
Prices vary significantly by location — from $84 in Wyoming to $208 in District of Columbia. 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
Closure of tear duct opening using plug (HCPCS code 68761) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $140.39, but hospitals typically charge $347.26 — a 2.5x 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 $140.39, your out-of-pocket cost would be approximately $28.08. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $107.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $208 | $563 | 26 | 188 | +48.2% |
| New Jersey | $204 | $422 | 535 | 17,290 | +45.2% |
| Delaware | $202 | $437 | 47 | 590 | +44.0% |
| Maryland | $189 | $404 | 289 | 6,694 | +34.5% |
| Pennsylvania | $178 | $393 | 757 | 15,111 | +27.1% |
| Texas | $178 | $440 | 950 | 14,544 | +26.9% |
| Louisiana | $178 | $486 | 221 | 3,708 | +26.7% |
| Mississippi | $176 | $534 | 145 | 2,355 | +25.6% |
| Colorado | $176 | $407 | 316 | 4,324 | +25.2% |
| New Mexico | $172 | $407 | 94 | 788 | +22.3% |
| Connecticut | $170 | $464 | 219 | 3,533 | +21.2% |
| Wisconsin | $166 | $785 | 254 | 2,433 | +18.0% |
| Arkansas | $161 | $369 | 149 | 1,844 | +14.7% |
| Oklahoma | $160 | $314 | 234 | 2,455 | +14.2% |
| Alaska | $156 | $591 | 46 | 301 | +10.9% |
| New York | $155 | $371 | 1,176 | 54,772 | +10.6% |
| South Dakota | $155 | $364 | 108 | 1,381 | +10.4% |
| Oregon | $154 | $422 | 203 | 1,825 | +9.7% |
| Montana | $153 | $261 | 81 | 885 | +8.9% |
| Washington | $150 | $374 | 365 | 3,730 | +6.9% |
| Minnesota | $150 | $542 | 247 | 1,674 | +6.7% |
| Vermont | $149 | $416 | 30 | 190 | +6.3% |
| Massachusetts | $149 | $537 | 403 | 8,096 | +5.9% |
| Rhode Island | $148 | $344 | 98 | 2,400 | +5.5% |
| Virginia | $143 | $382 | 419 | 10,095 | +1.6% |
| Puerto Rico | $139 | $184 | 17 | 178 | -0.9% |
| New Hampshire | $136 | $341 | 83 | 1,389 | -2.9% |
| California | $135 | $331 | 1,516 | 104,894 | -3.7% |
| Utah | $131 | $305 | 183 | 3,207 | -6.7% |
| Michigan | $131 | $326 | 400 | 7,962 | -6.7% |
| Nebraska | $129 | $369 | 115 | 1,031 | -8.1% |
| Ohio | $128 | $302 | 416 | 5,669 | -8.7% |
| Idaho | $128 | $331 | 103 | 974 | -8.9% |
| Nevada | $128 | $375 | 137 | 8,118 | -9.0% |
| Kentucky | $127 | $299 | 180 | 1,828 | -9.3% |
| West Virginia | $125 | $316 | 90 | 973 | -10.8% |
| Georgia | $125 | $454 | 373 | 5,943 | -11.2% |
| Missouri | $124 | $294 | 241 | 2,341 | -11.6% |
| South Carolina | $123 | $385 | 208 | 3,824 | -12.0% |
| North Carolina | $123 | $315 | 444 | 8,168 | -12.2% |
| Florida | $123 | $306 | 1,109 | 78,025 | -12.3% |
| North Dakota | $123 | $347 | 62 | 703 | -12.4% |
| Indiana | $122 | $327 | 257 | 4,389 | -13.2% |
| Maine | $121 | $256 | 47 | 469 | -13.6% |
| Illinois | $121 | $307 | 578 | 16,197 | -14.1% |
| Arizona | $120 | $248 | 356 | 15,302 | -14.9% |
| Tennessee | $118 | $243 | 361 | 7,500 | -15.9% |
| Iowa | $118 | $301 | 236 | 3,103 | -16.0% |
| Kansas | $113 | $318 | 171 | 4,287 | -19.3% |
| Hawaii | $111 | $305 | 75 | 3,743 | -20.8% |
| Alabama | $106 | $232 | 227 | 4,383 | -24.5% |
| Wyoming | $84 | $152 | 29 | 6,460 | -40.1% |
⚠️ 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