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Balloon Opening of a Blocked Tear Duct

Georgia 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 $3,467 · 10th–90th $933$7,0790%5%10%10th90th$3,467Professionalmedian $977 · 10th–90th $155$2,9510%10%10th90th$977$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$4,570.88
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$977.24
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,630.78
Typical High
$6,606.93