go back

Biopsy of the Tear Sac

Washington 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?

$1,288

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $513 to $6,457.

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 $1,288 · 10th to 90th $355 to $9,772
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $1,288

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
$478.63
Median
$3,548.13
Typical High
$17,782.79
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$2,454.71
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$660.69
Typical High
$2,818.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$346.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,079.46
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,918.31
Typical High
$13,182.57

Where Washington 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.

Washington $1,288 · 38th 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.