Price Checker / CPT 68815

How much does Probe Nasolacrimal Duct cost?

CPT 68815 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $560–$1,100.

Fair price

$560–$1,100

What this should cost

With insurance

~$2,750

Typical out-of-pocket

Overcharged if over

$1,400

Push back above this

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About Probe Nasolacrimal Duct

CPT code 68815 refers to probe nasolacrimal duct (billing description: "Probe nasolacrimal duct"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $193 in a facility (hospital or surgery center) and $373 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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