Endoscopic Opening Of A Blocked Tear Duct

Nationwide rates for HCPCS 31239

Using a small scope inside the nose, the surgeon makes a new drainage channel between the tear sac beside the nose and the nasal cavity, bypassing a blocked tear duct. Tears then drain into the nose instead of spilling onto the cheek. Because all the work is done inside the nose, there is no scar on the face.

Rates data updated July 2026.

How much does Endoscopic Opening Of A Blocked Tear Duct cost?

$5,863

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,863 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $5,012 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

15% physician fee85% facility fee

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 55 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$851	$646 to $1,259
Facility feeThe hospital or surgery center	The hospital or surgery center	$5,012	$2,818 to $8,318

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,096 to $12,589Professionalmedian $851 · 10th to 90th $550 to $2,042

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $977.24 Median $4,786.30 Typical High $12,022.64	Facility	Global	$977.24	$4,786.30	$12,022.64
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,621.81 Median $5,623.41 Typical High $11,220.18	Facility	50 · Both sides	$1,621.81	$5,623.41	$11,220.18
BCBS Setting Facility Modifier Global Typical Low $2,818.38 Median $5,888.44 Typical High $13,803.84	Facility	Global	$2,818.38	$5,888.44	$13,803.84
Cigna Setting Facility Modifier Global Typical Low $912.01 Median $2,137.96 Typical High $11,481.54	Facility	Global	$912.01	$2,137.96	$11,481.54
United Setting Facility Modifier Global Typical Low $1,513.56 Median $4,265.80 Typical High $10,000.00	Facility	Global	$1,513.56	$4,265.80	$10,000.00

What it costs in each state

The same service costs 4.0 times more in Nebraska than in Oregon. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

NE $9,356OR $2,324

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.