go back

Biopsy of the Tear Sac

Ohio 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?

$2,630

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $1,479 to $4,677.

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 $2,630 · 10th to 90th $851 to $10,233
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,630

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
$489.78
Median
$2,630.27
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,754.23
Typical High
$7,943.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,047.13
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,168.69
Typical High
$6,918.31

Where Ohio 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.

Ohio $2,630 · 22nd 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.