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Biopsy of the Tear Sac

Alaska rates for HCPCS 68525

Takes a sample of tissue from the tear sac, the small pouch beside the nose that collects tears before they drain into the nasal cavity. The sample is examined under a microscope to find out what is behind a swelling, a blockage, or a lump in that area. The sac itself is left in place.

Rates data updated October 2026.

How much does Biopsy of the Tear Sac cost?

$3,594

Typical total for the visit. In Alaska, October 2026.

Insurers have agreed to pay about $3,594 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $2,570 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,023$708 to $1,023
Facility feeThe hospital or surgery center$2,570$2,089 to $5,888

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,622 to $8,913Professionalmedian $1,023 · 10th to 90th $355 to $1,479
$100$200$500$1K$2K$5K$10Kfacility $2,570professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$6,606.93
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,754.23
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$891.25
Moda Health
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$1,479.11
Typical High
$2,089.30
Moda Health
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$660.69
Typical High
$1,548.82
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$3,311.31
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$2,691.53
Typical High
$8,511.38
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$251.19
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$6,165.95
Typical High
$8,912.51
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$707.95
Typical High
$1,071.52

Where Alaska sits

The same service costs 6.4 times more in Colorado 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.

Physician feeFacility fee

Alaska· 4th of 51

$3,594

$1,023 physician + $2,570 facility

CO $4,783MT $743

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.