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Small Cut To Open The Tear Drainage Opening

New Jersey 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?

$117

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $5,129 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$107$95.50 to $129
FacilityA hospital or hospital-owned outpatient department$5,129$3,311 to $7,079

How much rates vary

Facilitymedian $5,129 · 10th to 90th $182 to $10,471Professionalmedian $107 · 10th to 90th $83 to $288
$100$200$500$1K$2K$5K$10Kfacility $5,129professional $107

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
$173.78
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$295.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$173.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$954.99
Typical High
$1,584.89
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$194.98

Where New Jersey 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.

New Jersey· 38th of 51

$117

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.