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Biopsy of the Tear Sac

Nebraska 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?

$4,074

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $2,188 to $8,128.

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 $4,365 · 10th to 90th $1,549 to $13,490Professionalmedian $617 · 10th to 90th $501 to $794
$500$1K$2K$5K$10K$20Kfacility $4,365professional $617

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. 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
Global
Typical Low
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,025.60
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$562.34
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$794.33
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,548.13
Typical High
$6,760.83

Where Nebraska 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.

Nebraska· 11th of 50

$4,074

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.