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Incision and Drainage of Conjunctival Cyst

Virginia 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?

$141

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $2,455 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 8 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$135$105 to $170
FacilityA hospital or hospital-owned outpatient department$2,455$141 to $4,467

How much rates vary

Facilitymedian $2,455 · 10th to 90th $105 to $7,079Professionalmedian $135 · 10th to 90th $93 to $794
$100$200$500$1K$2K$5K$10Kfacility $2,455professional $135

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
$104.71
Median
$3,630.78
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$154.88
Median
$218.78
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$707.95
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$169.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$380.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$245.47
Sentara
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$213.80

Where Virginia 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.

Virginia· 32nd of 51

$141

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.