Probing of nasal tear duct
Medicare pricing data for 3,282 providers across 50 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
Probing of nasal tear duct (HCPCS code 68840) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $162.00, but hospitals typically charge $445.49 — a 2.7x 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 $162.00, your out-of-pocket cost would be approximately $32.40. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $123.11 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $206 | $409 | 15 | 327 | +27.1% |
| New York | $195 | $476 | 203 | 2,125 | +20.7% |
| District of Columbia | $192 | $483 | 9 | 114 | +18.7% |
| New Jersey | $183 | $425 | 126 | 1,685 | +12.7% |
| California | $181 | $480 | 420 | 4,870 | +11.4% |
| Puerto Rico | $178 | $230 | 8 | 13 | +10.1% |
| Connecticut | $176 | $469 | 42 | 307 | +8.5% |
| Alaska | $175 | $642 | 8 | 22 | +8.3% |
| Delaware | $172 | $453 | 6 | 57 | +6.1% |
| Maryland | $171 | $402 | 54 | 420 | +5.5% |
| Texas | $169 | $403 | 235 | 2,871 | +4.6% |
| North Dakota | $167 | $440 | 12 | 54 | +2.9% |
| Oregon | $166 | $507 | 45 | 325 | +2.4% |
| South Dakota | $163 | $433 | 13 | 173 | +0.4% |
| Illinois | $160 | $427 | 101 | 1,253 | -1.2% |
| Washington | $160 | $418 | 97 | 817 | -1.5% |
| Pennsylvania | $160 | $382 | 137 | 639 | -1.5% |
| Minnesota | $160 | $574 | 40 | 334 | -1.5% |
| Michigan | $158 | $399 | 115 | 794 | -2.3% |
| North Carolina | $158 | $407 | 95 | 904 | -2.7% |
| Massachusetts | $157 | $567 | 67 | 662 | -3.1% |
| Florida | $156 | $411 | 261 | 2,480 | -3.4% |
| Kentucky | $154 | $328 | 35 | 193 | -4.7% |
| Colorado | $154 | $483 | 81 | 560 | -4.9% |
| Rhode Island | $153 | $443 | 9 | 79 | -5.5% |
| Vermont | $152 | $300 | 6 | 64 | -5.9% |
| Arizona | $151 | $361 | 63 | 442 | -6.8% |
| Georgia | $150 | $507 | 89 | 746 | -7.4% |
| Kansas | $149 | $348 | 29 | 297 | -7.9% |
| Montana | $149 | $308 | 4 | 12 | -8.1% |
| West Virginia | $147 | $403 | 18 | 53 | -9.3% |
| Virginia | $146 | $424 | 80 | 651 | -9.6% |
| New Hampshire | $146 | $451 | 14 | 122 | -10.2% |
| Missouri | $146 | $385 | 48 | 341 | -10.2% |
| Indiana | $145 | $308 | 50 | 312 | -10.4% |
| Idaho | $145 | $362 | 22 | 132 | -10.5% |
| Utah | $143 | $356 | 52 | 170 | -11.8% |
| South Carolina | $142 | $477 | 55 | 429 | -12.2% |
| Tennessee | $142 | $407 | 71 | 571 | -12.4% |
| Oklahoma | $142 | $391 | 29 | 274 | -12.5% |
| Ohio | $140 | $544 | 96 | 832 | -13.7% |
| Alabama | $139 | $223 | 38 | 118 | -14.4% |
| Iowa | $136 | $477 | 32 | 176 | -15.9% |
| Arkansas | $135 | $344 | 23 | 164 | -16.9% |
| Maine | $134 | $442 | 12 | 56 | -17.5% |
| Nebraska | $132 | $309 | 16 | 109 | -18.2% |
| Mississippi | $126 | $258 | 26 | 129 | -22.1% |
| Wisconsin | $121 | $728 | 48 | 220 | -25.3% |
| Louisiana | $105 | $573 | 44 | 327 | -35.3% |
| Nevada | $104 | $507 | 22 | 1,016 | -35.6% |
⚠️ 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