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New Tear Drainage Passage Into The Nose

Pennsylvania rates for HCPCS 68720

Creates a new channel from the tear sac at the inner corner of the eye directly into the nose, bypassing a blocked tear duct. A small opening is made in the bone between the sac and the nasal cavity and the linings are joined so tears drain again. It is done for a duct that is blocked below the sac and cannot be opened by probing.

Rates data updated July 2026.

How much does New Tear Drainage Passage Into The Nose cost?

$5,370

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $2,399 to $7,762.

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.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $5,370

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
$1,023.29
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$9,332.54
Typical High
$10,000.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$9,332.54
Typical High
$18,620.87
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$9,332.54
Typical High
$11,748.98
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$11,481.54

Where Pennsylvania sits

The same service costs 11.7 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $5,370 · 13th of 51
IN $10,233ND $871

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.