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Biopsy of the Tear Sac

Kentucky 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?

$1,995

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $1,413 to $2,692.

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 $1,995 · 10th to 90th $794 to $3,388
$500$1K$2K$5Kfacility $1,995

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
$281.84
Median
$851.14
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,388.44
Typical High
$6,025.60

Where Kentucky 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.

Kentucky· 32nd of 50

$1,995

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.