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Biopsy of the Tear Sac

Arizona 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 July 2026.

How much does Biopsy of the Tear Sac cost?

$2,818

Typical facility fee. In Arizona, July 2026.

Insurers have agreed to pay about $2,818 for this service. Most negotiated rates run $1,660 to $4,677.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $955 to $5,623
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,818

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
$1,380.38
Median
$3,090.30
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,862.09
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$457.09
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$758.58
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$5,370.32

Where Arizona sits

The same service costs 25.1 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $2,818 · 20th of 50
IN $6,310MD $251

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.