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Drainage Of An Infected Tear Gland

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $5,495 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 5 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$251$132 to $339
FacilityA hospital or hospital-owned outpatient department$5,495$3,631 to $7,079

How much rates vary

Facilitymedian $5,495 · 10th to 90th $550 to $10,471Professionalmedian $251 · 10th to 90th $117 to $661
$100$200$500$1K$2K$5K$10Kfacility $5,495professional $251

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
$389.05
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$269.15
Typical High
$660.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$489.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$3,090.30
Typical High
$5,128.61
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$295.12
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$245.47
Typical High
$467.74

Where New Jersey 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.

New Jersey· 40th 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.