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Drainage Of An Infected Tear Gland

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $2,570 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$269$135 to $331
FacilityA hospital or hospital-owned outpatient department$2,570$1,230 to $4,786

How much rates vary

Facilitymedian $2,570 · 10th to 90th $479 to $8,318Professionalmedian $269 · 10th to 90th $123 to $490
$100$200$500$1K$2K$5K$10Kfacility $2,570professional $269

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
$537.03
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$489.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,570.40
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$288.40
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$257.04
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$302.00
Typical High
$489.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$1,230.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$398.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$645.65
Typical High
$1,122.02
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,344.23
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$457.09

Where Pennsylvania 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.

Pennsylvania· 42nd 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.