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Balloon Opening of a Blocked Tear Duct

Indiana 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.

Facilitymedian $6,457 · 10th–90th $1,096$10,4710%10%10th90th$6,457$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
$218.78
Median
$3,890.45
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,317.64
Typical High
$10,471.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$912.01
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$5,623.41
Typical High
$14,125.38