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Biopsy of the Tear Sac

Colorado 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?

$5,370

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $3,311 to $7,762.

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.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $912 to $9,333Professionalmedian $295 · 10th to 90th $295 to $708
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $5,370professional $295

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. 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
Global
Typical Low
$1,202.26
Median
$3,981.07
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$707.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29

Where Colorado 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.

Colorado $5,370 · 4th 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.