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Incision and Drainage of Conjunctival Cyst

New Jersey 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?

$132

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $5,888 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 5 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$120$107 to $148
FacilityA hospital or hospital-owned outpatient department$5,888$4,467 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $209 to $10,471Professionalmedian $120 · 10th to 90th $91 to $380
$100$200$500$1K$2K$5K$10Kfacility $5,888professional $120

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
$208.93
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$323.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$194.98
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$3,019.95
Typical High
$4,897.79
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$218.78

Where New Jersey 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.

New Jersey· 43rd of 51

$132

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.