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Unlisted Procedure On The Eye's Surface Membrane

California rates for HCPCS 68399

Covers an operation on the conjunctiva — the thin clear membrane that covers the white of the eye and lines the inside of the eyelids — where no standard named entry fits. The surgeon submits a written report describing exactly what was done.

Rates data updated July 2026.

How much does Unlisted Procedure On The Eye's Surface Membrane cost?

$5,012

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $5,754 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$1,000$70.79 to $6,457
FacilityA hospital or hospital-owned outpatient department$5,754$2,512 to $10,715

How much rates vary

Facilitymedian $5,754 · 10th to 90th $550 to $16,982Professionalmedian $1,000 · 10th to 90th $52 to $15,136
$50$200$1K$5K$20Kfacility $5,754professional $1,000

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
$4,897.79
Median
$10,471.29
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$6,025.60
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,090.30
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$2,951.21
Typical High
$6,456.54
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,548.82
Typical High
$6,456.54

Where California sits

The same service costs 83.2 times more in Wisconsin than in South Dakota. 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.

California· 11th of 50

$5,012

WI $12,589SD $151

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.