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Balloon Opening of a Blocked Tear Duct

California rates for HCPCS 68816

Opens a blocked tear duct by passing a fine probe down the drainage channel from the eyelid towards the nose, then inflating a small balloon inside it to stretch the passage open. It treats a constantly watery, sticky eye caused by tears that cannot drain away.

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $1,622$13,4900%10%10th90th$4,571Professionalmedian $708 · 10th–90th $141$1,6220%5%10%10th90th$708$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,456.54
Typical High
$17,782.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$12,882.50
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,235.94
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,995.26
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$524.81
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$812.83
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$6,165.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$676.08
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$7,244.36
Typical High
$15,135.61