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Drainage Of An Infected Tear Gland

New York 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?

$380

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $3,548 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 9 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$174 to $398
FacilityA hospital or hospital-owned outpatient department$3,548$1,698 to $5,754

How much rates vary

Facilitymedian $3,548 · 10th to 90th $245 to $8,318Professionalmedian $288 · 10th to 90th $129 to $692
$100$200$500$1K$2K$5K$10Kfacility $3,548professional $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
$177.83
Median
$2,884.03
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$741.31
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$194.98
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$295.12
Typical High
$851.14
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$407.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$602.56
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$616.60
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$288.40
Typical High
$602.56
Univera
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$457.09
Univera
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$616.60

Where New York 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 York· 11th of 51

$380

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.