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Removal Of Stone Or Object From Tear Duct

South Dakota rates for HCPCS 68530

Removes a stone or a foreign object lodged in the tear drainage passages at the inner corner of the eye. The passage is opened or flushed so the blockage can be lifted out and normal tear drainage restored. It is done for a constantly watery eye, swelling at the inner corner, or repeated infections caused by the obstruction.

Rates data updated July 2026.

How much does Removal Of Stone Or Object From Tear Duct cost?

$490

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $575 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$380 to $741
FacilityA hospital or hospital-owned outpatient department$575$339 to $1,175

How much rates vary

Facilitymedian $575 · 10th to 90th $240 to $2,512Professionalmedian $490 · 10th to 90th $251 to $933
$200.0$500.0$1.0K$2.0Kfacility $575professional $490

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
$257.04
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$512.86
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,023.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$1,174.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$1,096.48

Where South Dakota sits

The same service costs 3.9 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $490 · 22nd of 51
WY $1,445WV $372

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.