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Biopsy of the Tear Sac

Iowa 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?

$2,512

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $603 to $5,370.

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 $3,802 · 10th to 90th $550 to $7,586Professionalmedian $447 · 10th to 90th $234 to $692
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,802professional $447

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
$602.56
Median
$3,801.89
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,621.81
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,495.41
Typical High
$6,606.93

Where Iowa 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.

Iowa $2,512 · 25th 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.