CPT 68530 Surgery - Eye
Clearance of tear duct Cost
Body System: Eye
Medicare Facility Rate
$213
CMS PFS CY2026
Medicare Non-Facility Rate
$434
Office/clinic setting
Hospital Outpatient
$324
OPPS rate
Surgery Center (ASC)
$174
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.61
Work RVU
2.48
Facility PE RVU
0.28
Malpractice RVU
12.98
Total RVU
Frequently Asked Questions
How much does Clearance of tear duct cost?
The Medicare facility rate is $213. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $324. Ambulatory surgery center rate: $174.
How much does Clearance of tear duct cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $213.