go back

Incision and Drainage of Conjunctival Cyst

Illinois rates for HCPCS 68020

This procedure treats a fluid-filled cyst on the conjunctiva, the clear tissue covering the white of the eye and lining the inner eyelid, by making a small opening to drain it. It is typically a quick in-office procedure done with local numbing of the eye. It relieves irritation or a visible bump caused by the cyst.

Rates data updated July 2026.

How much does Incision and Drainage of Conjunctival Cyst cost?

$170

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $1,514 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$115 to $204
FacilityA hospital or hospital-owned outpatient department$1,514$603 to $3,236

How much rates vary

Facilitymedian $1,514 · 10th to 90th $135 to $5,370Professionalmedian $151 · 10th to 90th $105 to $288
$100$200$500$1K$2K$5K$10Kfacility $1,514professional $151

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,479.11
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$257.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$478.63
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,089.30
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$281.84

Where Illinois sits

The same service costs 3.4 times more in California than in Hawaii. 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.

Illinois· 18th of 51

$170

CA $398HI $117

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.