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Incision and Drainage of Conjunctival Cyst

Utah 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?

$123

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $3,162 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$120$107 to $166
FacilityA hospital or hospital-owned outpatient department$3,162$1,380 to $4,467

How much rates vary

Facilitymedian $3,162 · 10th to 90th $112 to $4,898Professionalmedian $120 · 10th to 90th $91 to $234
$50$100$200$500$1K$2K$5Kfacility $3,162professional $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
$112.20
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,949.84
Typical High
$2,884.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$239.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$218.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$147.91
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$223.87

Where Utah 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.

Utah· 48th of 51

$123

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.