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Drainage Of An Infected Tear Gland

New Mexico 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?

$295

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $437 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$275$195 to $479
FacilityA hospital or hospital-owned outpatient department$437$182 to $2,089

How much rates vary

Facilitymedian $437 · 10th to 90th $158 to $4,365Professionalmedian $275 · 10th to 90th $138 to $724
$50$100$200$500$1K$2K$5Kfacility $437professional $275

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
$173.78
Median
$457.09
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$269.15
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,630.78
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$478.63

Where New Mexico 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 Mexico· 33rd of 51

$295

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.