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Medicated Insert Placed In The Tear Duct

California rates for HCPCS 0356T

A small implant that slowly releases medication is placed into the tear drainage channel at the inner corner of the eyelid. The opening is gently widened first, and an insert already in place is taken out if there is one. Sitting in the tear duct, it delivers medicine to the surface of the eye over a period of time without the need for drops.

Rates data updated July 2026.

How much does Medicated Insert Placed In The Tear Duct cost?

$4,365

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $3,162 to $5,754.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,570 to $12,882Professionalmedian $407 · 10th to 90th $110 to $407
$100$500$2K$10Kfacility $4,467professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$131.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38

Where California sits

The same service costs 1698.2 times more in Kentucky than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 4th of 39

$4,365

KY $51,286ID $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.