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Incision and Drainage of Conjunctival Cyst

North Carolina 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?

$138

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $407 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 7 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$132$115 to $170
FacilityA hospital or hospital-owned outpatient department$407$132 to $3,548

How much rates vary

Facilitymedian $407 · 10th to 90th $110 to $7,079Professionalmedian $132 · 10th to 90th $105 to $347
$100$200$500$1K$2K$5Kfacility $407professional $132

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
$117.49
Median
$436.52
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$251.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$288.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$257.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$117.49
Typical High
$257.04
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$3,890.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$2,041.74

Where North Carolina 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.

North Carolina· 37th of 51

$138

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.