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Biopsy of the Tear Sac

Florida 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?

$4,786

Typical facility fee. In Florida, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $1,698 to $8,128.

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 $4,786 · 10th to 90th $708 to $11,220
$200$500$1K$2K$5K$10Kfacility $4,786

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
$645.65
Median
$3,388.44
Typical High
$11,481.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,454.71
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,023.29
Typical High
$1,122.02
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,888.44
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$5,495.41
Typical High
$9,772.37

Where Florida sits

The same service costs 25.1 times more in Indiana than in Maryland. 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.

Florida· 6th of 50

$4,786

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.