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Unlisted Procedure On The Eye's Surface Membrane

Texas 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?

$1,096

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,072 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$1,096$1,000 to $4,571
FacilityA hospital or hospital-owned outpatient department$1,072$447 to $3,715

How much rates vary

Facilitymedian $1,072 · 10th to 90th $257 to $6,026Professionalmedian $1,096 · 10th to 90th $30 to $12,303
$50$200$1K$5Kfacility $1,072professional $1,096

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
$1,000.00
Median
$3,715.35
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$12,589.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,318.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$724.44
Typical High
$2,290.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where Texas 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.

Texas· 38th of 50

$1,096

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.