go back

Biopsy of the Tear Sac

Montana 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?

$447

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $437 to $457.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $447 · 10th to 90th $437 to $537
$500$1K$2K$5Kfacility $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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$537.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,445.44
Typical High
$4,897.79

Where Montana 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.

Montana· 46th of 50

$447

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.