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Unlisted Procedure On The Eye's Surface Membrane

Washington 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?

$1,230

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,479 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$1,175$851 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,479$871 to $7,943

How much rates vary

Facilitymedian $1,479 · 10th to 90th $550 to $18,621Professionalmedian $1,175 · 10th to 90th $76 to $3,802
$50$200$1K$5K$20Kfacility $1,479professional $1,175

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
$1,737.80
Median
$7,943.28
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$4,365.16
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,584.89
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,174.90
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,584.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$1,000.00
Typical High
$2,137.96

Where Washington 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.

Washington· 35th of 50

$1,230

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.