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Biopsy of the Tear Sac

Oregon 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?

$501

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $417 to $550.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $501 · 10th to 90th $295 to $6,607Professionalmedian $437 · 10th to 90th $331 to $501
$200$500$1K$2K$5K$10K$20Kfacility $501professional $437

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
$630.96
Median
$5,011.87
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$562.34
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$512.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$645.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,585.78
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,128.31
Typical High
$12,022.64

Where Oregon 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.

Oregon· 45th of 50

$501

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.