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Unlisted Procedure On The Eye's Surface Membrane

Kentucky 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?

$8,511

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $8,511 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $8,511 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 6 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$2,818$2,818 to $67,608
FacilityA hospital or hospital-owned outpatient department$8,511$1,380 to $10,715

How much rates vary

Facilitymedian $8,511 · 10th to 90th $794 to $11,220Professionalmedian $2,818 · 10th to 90th $45 to $85,114
$0.1$1$10$100$1K$10K$100Kfacility $8,511professional $2,818

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
$794.33
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$81,283.05
Typical High
$97,723.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$60,255.96
Median
$75,857.76
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84

Where Kentucky 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.

Kentucky· 6th of 50

$8,511

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.