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Closure Of A Tear-Duct Fistula

Iowa rates for HCPCS 68770

Surgery to close an abnormal opening that lets tears leak out through the skin near the inner corner of the eye instead of draining down the tear duct into the nose. The surgeon removes or seals the tract and closes the tissue so tears drain the normal way again.

Rates data updated July 2026.

How much does Closure Of A Tear-Duct Fistula cost?

$1,349

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $4,786 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$1,096$646 to $1,549
FacilityA hospital or hospital-owned outpatient department$4,786$3,467 to $6,457

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,096 to $7,943Professionalmedian $1,096 · 10th to 90th $575 to $3,981
$500$1K$2K$5K$10Kfacility $4,786professional $1,096

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
$1,096.48
Median
$5,248.07
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,096.48
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,479.11
Typical High
$1,819.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,778.28
Typical High
$5,754.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,258.93
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,073.80
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,318.26

Where Iowa sits

The same service costs 5.4 times more in Wyoming than in West Virginia. 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.

Iowa· 9th of 51

$1,349

WY $3,548WV $661

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.