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Small Cut To Open The Tear Drainage Opening

Illinois rates for HCPCS 68440

This is a minor procedure that makes a small snip in the tiny opening at the inner corner of the eyelid where tears normally drain. It is done to widen a narrowed drainage opening and relieve excess tearing.

Rates data updated July 2026.

How much does Small Cut To Open The Tear Drainage Opening cost?

$151

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $1,096 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 6 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$126$102 to $178
FacilityA hospital or hospital-owned outpatient department$1,096$234 to $2,512

How much rates vary

Facilitymedian $1,096 · 10th to 90th $115 to $5,129Professionalmedian $126 · 10th to 90th $93 to $229
$100$200$500$1K$2K$5K$10Kfacility $1,096professional $126

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
$114.82
Median
$1,148.15
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$524.81
Median
$524.81
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$218.78
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$588.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$691.83
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$245.47

Where Illinois sits

The same service costs 3.0 times more in Wyoming than in Montana. 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.

Illinois· 19th of 51

$151

WY $309MT $102

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.