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Drainage Of An Infected Tear Gland

Massachusetts rates for HCPCS 68400

An infected, swollen tear gland at the outer part of the upper eyelid is opened through a small incision so trapped pus can drain out. Releasing the collection relieves pain and swelling and lets antibiotics work. The site is usually left to keep draining for a short period afterwards.

Rates data updated July 2026.

How much does Drainage Of An Infected Tear Gland cost?

$302

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $1,318 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$295$158 to $398
FacilityA hospital or hospital-owned outpatient department$1,318$186 to $2,692

How much rates vary

Facilitymedian $1,318 · 10th to 90th $155 to $3,715Professionalmedian $295 · 10th to 90th $132 to $759
$100$200$500$1K$2K$5Kfacility $1,318professional $295

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
$295.12
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$288.40
Typical High
$457.09
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,778.28
Typical High
$4,786.30
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$346.74
Typical High
$794.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$524.81
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$316.23
Typical High
$758.58
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,778.28
Typical High
$4,786.30
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,162.28
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$323.59
Typical High
$794.33

Where Massachusetts sits

The same service costs 9.1 times more in California than in West Virginia. 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.

Massachusetts· 29th of 51

$302

CA $2,089WV $229

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.