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Incision and Drainage of Conjunctival Cyst

South Dakota 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?

$191

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $182 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$191$117 to $234
FacilityA hospital or hospital-owned outpatient department$182$115 to $331

How much rates vary

Facilitymedian $182 · 10th to 90th $95 to $4,365Professionalmedian $191 · 10th to 90th $98 to $288
$100$200$500$1K$2Kfacility $182professional $191

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
$109.65
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$218.78
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$295.12
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$309.03

Where South Dakota 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.

South Dakota· 13th of 51

$191

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.