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Biopsy of the Tear Sac

New Mexico 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 October 2026.

How much does Biopsy of the Tear Sac cost?

$2,183

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $2,183 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $1,820 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$275 to $417
Facility feeThe hospital or surgery center$1,820$1,259 to $6,310

How much rates vary

Facilitymedian $1,820 · 10th to 90th $646 to $8,913Professionalmedian $363 · 10th to 90th $214 to $468
$50$200$1K$5Kfacility $1,820professional $363

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$416.87
Typical High
$416.87
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$6,606.93
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,258.93
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$316.23
Typical High
$512.86
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$72.44
Typical High
$363.08
Providence
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$1,258.93
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$331.13
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$354.81
Typical High
$478.63

Where New Mexico sits

The same service costs 6.4 times more in Colorado than in Montana. 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.

Physician feeFacility fee

New Mexico· 18th of 51

$2,183

$363 physician + $1,820 facility

CO $4,783MT $743

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.