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Unlisted Procedure On The Eye's Surface Membrane

Idaho 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?

$692

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $617 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$1,288$339 to $4,467
FacilityA hospital or hospital-owned outpatient department$617$479 to $955

How much rates vary

Facilitymedian $617 · 10th to 90th $288 to $4,467Professionalmedian $1,288 · 10th to 90th $204 to $4,467
$50$200$1K$5Kfacility $617professional $1,288

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$4,466.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$954.99
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$851.14
Select Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$8,317.64
Typical High
$9,332.54

Where Idaho 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.

Idaho· 44th of 50

$692

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.