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Endoscopic Opening Of A Blocked Tear Duct

South Dakota 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 October 2026.

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

$2,802

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $2,802 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $1,514 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$1,000 to $1,445
Facility feeThe hospital or surgery center$1,514$1,072 to $1,820

How much rates vary

Facilitymedian $1,514 · 10th to 90th $871 to $2,138Professionalmedian $1,288 · 10th to 90th $661 to $1,738
$1K$2K$5Kfacility $1,514professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,778.28
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,412.54
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,412.54
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$1,621.81
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$1,513.56
Typical High
$1,698.24
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,288.25

Where South Dakota sits

The same service costs 4.0 times more in Wisconsin than in Montana. 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.

Physician feeFacility fee

South Dakota· 33rd of 51

$2,802

$1,288 physician + $1,514 facility

WI $7,445MT $1,867

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.