CPT 68810

Probe Nasolacrimal Duct W/Wo Irrigation

CPT 68810 pays $160.66 in a non-facility setting and $112.23 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $143.69 in Arkansas to $190.84 in Alaska, a 33% spread.

National non-facility rate

$160.66

Office and other outpatient settings

Facility rate
$112.23

Hospital and ASC settings

Highest state
$190.84

Alaska

Lowest state
$143.69

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $160.66
CPT 68810 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $160.66, national facility $112.23.
StateRate compared visuallyNon-facilityFacility
Alaska
$190.84$139.26
District of Columbia
$182.78$125.73
California
$180.15$122.84
New Jersey
$176.99$122.46
New York
$176.79$122.76
Washington
$176.31$121.10
Massachusetts
$174.62$120.21
Hawaii
$173.57$118.50
Connecticut
$170.71$118.55
Colorado
$167.20$115.67
Maryland
$166.15$115.66
Oregon
$165.65$114.63
Florida
$164.81$116.22
Rhode Island
$164.69$114.66
New Hampshire
$164.53$114.11
Puerto Rico
$161.77$112.81
Virgin Islands
$161.77$112.81
Minnesota
$160.93$111.09
Illinois
$160.89$114.09
Montana
$160.65$112.22
Nevada
$160.10$111.62
Wyoming
$159.62$111.18
Delaware
$159.23$111.38
Pennsylvania
$159.20$111.76
Texas
$159.00$111.32
North Dakota
$158.28$109.85
South Dakota
$158.00$109.57
Virginia
$157.67$110.06
Vermont
$157.61$109.67
Arizona
$156.78$109.85
Georgia
$156.62$110.42
Michigan
$155.79$110.32
Maine
$154.42$108.14
Utah
$153.86$108.33
Wisconsin
$153.41$107.01
New Mexico
$152.62$108.21
North Carolina
$152.07$106.89
South Carolina
$151.96$107.21
Missouri
$151.82$107.38
Louisiana
$151.58$107.36
Ohio
$151.42$107.20
Indiana
$150.82$105.92
Idaho
$150.02$105.47
Nebraska
$149.96$105.26
Iowa
$149.18$104.87
Tennessee
$149.11$105.08
Kentucky
$148.49$105.44
Kansas
$148.44$104.66
West Virginia
$148.43$106.34
Oklahoma
$148.36$105.11
Alabama
$145.60$103.22
Mississippi
$144.80$103.10
Arkansas
$143.69$102.09

Billed by 1 specialties

Commercial rates for 68810

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates