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Biopsy of the Tear Sac

Utah 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?

$3,020

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $389 to $3,981.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,388 · 10th to 90th $288 to $5,129Professionalmedian $389 · 10th to 90th $316 to $1,288
$200$500$1K$2K$5Kfacility $3,388professional $389

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
$288.40
Median
$3,162.28
Typical High
$4,570.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$6,918.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,897.79
Typical High
$7,079.46

Where Utah 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.

Utah· 18th of 50

$3,020

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.