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Biopsy of the Tear Sac

New Jersey 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?

$6,026

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $6,026 for this service. Most negotiated rates run $4,467 to $8,511.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,570 to $10,965
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,026

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
$2,691.53
Median
$5,888.44
Typical High
$10,964.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,762.47
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29

Where New Jersey 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.

New Jersey $6,026 · 2nd 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.