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Biopsy of the Tear Sac

Texas 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?

$2,455

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $1,122 to $4,266.

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 $2,455 · 10th to 90th $407 to $7,586
$200$500$1K$2K$5K$10Kfacility $2,455

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
$537.03
Median
$2,290.87
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,090.30
Typical High
$6,309.57
Christus
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,318.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$19,498.45
Typical High
$19,498.45
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$457.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,388.44
Typical High
$7,244.36

Where Texas 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.

Texas· 26th of 50

$2,455

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.