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Balloon Opening of a Blocked Tear Duct

Delaware 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.

How much does Balloon Opening of a Blocked Tear Duct cost?

$4,786

Typical facility fee. In Delaware, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $4,786 to $5,012.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,786 · 10th to 90th $4,074 to $5,012
$100$200$500$1K$2K$5Kfacility $4,786

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
$4,786.30
Median
$4,786.30
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$1,000.00

Where Delaware sits

The same service costs 9.1 times more in Indiana than in Maine. 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.

Delaware· 9th of 50

$4,786

IN $6,457ME $708

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.