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Drainage Of An Infected Tear Gland

North Carolina 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?

$288

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $490 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$288$151 to $363
FacilityA hospital or hospital-owned outpatient department$490$288 to $3,311

How much rates vary

Facilitymedian $490 · 10th to 90th $132 to $5,495Professionalmedian $288 · 10th to 90th $126 to $646
$200$500$1K$2K$5Kfacility $490professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$1,000.00
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$281.84
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$234.42
Typical High
$436.52
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$1,862.09
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$2,951.21

Where North Carolina 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.

North Carolina· 39th of 51

$288

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.