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Drainage Of An Infected Tear Gland

South Dakota 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?

$309

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $347 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 7 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$309$229 to $525
FacilityA hospital or hospital-owned outpatient department$347$174 to $776

How much rates vary

Facilitymedian $347 · 10th to 90th $123 to $4,365Professionalmedian $309 · 10th to 90th $138 to $661
$100$200$500$1K$2Kfacility $347professional $309

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
$131.83
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$660.69
Typical High
$691.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$380.19
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$354.81
Typical High
$794.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$758.58

Where South Dakota 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.

South Dakota· 26th of 51

$309

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.