go back

Drainage Of An Infected Tear Gland

West Virginia 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?

$229

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $288 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 4 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$219$138 to $316
FacilityA hospital or hospital-owned outpatient department$288$129 to $288

How much rates vary

Facilitymedian $288 · 10th to 90th $129 to $1,413Professionalmedian $219 · 10th to 90th $123 to $372
$50$100$200$500$1K$2Kfacility $288professional $219

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
$128.82
Median
$288.40
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$371.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$162.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$426.58

Where West Virginia 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.

West Virginia· 51st of 51

$229

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.