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Balloon Opening of a Blocked Tear Duct

Iowa 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 $3,388 · 10th–90th $537$6,7610%10%10th90th$3,388Professionalmedian $933 · 10th–90th $148$2,0420%5%10%10th90th$933$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,388.44
Typical High
$6,760.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$724.44
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,949.84
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,174.90
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,495.41
Typical High
$6,606.93