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Balloon Opening of a Blocked Tear Duct

Kansas 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 October 2026.

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

$1,868

Typical total for the visit. In Kansas, October 2026.

Insurers have agreed to pay about $1,868 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $977 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$309 to $1,096
Facility feeThe hospital or surgery center$977$617 to $1,660

How much rates vary

Facilitymedian $977 · 10th to 90th $537 to $3,802Professionalmedian $891 · 10th to 90th $191 to $3,090
$100$200$500$1K$2K$5Kfacility $977professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$575.44
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$131.83
Median
$229.09
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$123.03
Median
$213.80
Typical High
$1,071.52
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$660.69
Typical High
$1,584.89
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,548.82
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$707.95
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$1,071.52
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$3,090.30
Typical High
$6,165.95
United
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,737.80
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$630.96
Typical High
$1,023.29

Where Kansas sits

The same service costs 3.5 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Kansas· 44th of 51

$1,868

$891 physician + $977 facility

CO $4,667MT $1,347

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.