Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 68705 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery To Repair Tear Duct, Surgery To Repair A Tear Duct That Has Turned Outward And Therefore Is Causing Excessive Tearing.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 68705 |
| Medicaid Fee Schedule | View Medicaid rates for 68705 |
National average reimbursement for CPT 68705 by major payers:
$310.91
$320.88
$360.05
$410.23
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 68705.
CPT 68705
5 of 25 sample ratesHigher to lower in this preview
Bay Area Surgical Group, Inc.
$1,675.00Published ratePain Care Of North Texas, LLC
$512.00Published ratePresbyterian Hospital Asc, New Mexico Surgery Center Multi-Specialty
$248.00Published rateSog Surgery Center LLC
$122.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$60.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 68705 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68705 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 68705 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 68020-CPT | Low | Surgery To Drain An Eye Cyst, Surgery To Drain A Cyst (Fluid-Filled Sac) On The Conjunctiva The Clear Mucous Membrane That Covers The Eye. |
| 68040-CPT | Low | Remove A Bump From The Eyelid, Procedure To Remove Grain-Like Bumps Caused By Irritation (Follicles) From The Inside Of The Eyelid. |
| 68700-CPT | Moderate | Canaliculoplasty |
| 68705-CPT | Moderate | Surgery To Repair Tear Duct, Surgery To Repair A Tear Duct That Has Turned Outward And Therefore Is Causing Excessive Tearing. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68705. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68705 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 68705) and we'll show you how you compare in 15 minutes or less.