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Biopsy of the Tear Sac

Idaho 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?

$3,890

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $3,890 for this service. Most negotiated rates run $1,349 to $5,495.

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 $3,890 · 10th to 90th $282 to $7,079
$200$500$1K$2K$5K$10Kfacility $3,890

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,090.30
Typical High
$6,025.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$616.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$7,585.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$2,570.40
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$12,302.69
Typical High
$12,302.69

Where Idaho 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.

Idaho· 13th of 50

$3,890

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.