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Biopsy of the Tear Sac

Hawaii 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?

$1,294

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

Insurers have agreed to pay about $1,294 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $955 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$339$316 to $380
Facility feeThe hospital or surgery center$955$813 to $2,570

How much rates vary

Facilitymedian $955 · 10th to 90th $724 to $2,884Professionalmedian $339 · 10th to 90th $30 to $398
$50$100$200$500$1K$2Kfacility $955professional $339

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
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
HMSA
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$380.19
Typical High
$398.11
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$165.96
Median
$190.55
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$251.19
Typical High
$309.03
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$338.84
Typical High
$3,548.13

Where Hawaii 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

Hawaii· 49th of 51

$1,294

$339 physician + $955 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.