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Small Cut To Open The Tear Drainage Opening

North Dakota 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?

$191

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $107 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 5 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$191$105 to $229
FacilityA hospital or hospital-owned outpatient department$107$105 to $178

How much rates vary

Facilitymedian $107 · 10th to 90th $100 to $1,995Professionalmedian $191 · 10th to 90th $100 to $257
$100$200$500$1K$2K$5Kfacility $107professional $191

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
$100.00
Median
$104.71
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$112.20
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$257.04
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$263.03
Median
$323.59
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$263.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$263.03

Where North Dakota 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.

North Dakota· 7th of 51

$191

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.