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Balloon Opening of a Blocked Tear Duct

Kentucky 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 $2,291 · 10th–90th $537$4,3650%10%10th90th$2,291$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$169.82
Median
$891.25
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,388.44
Typical High
$6,025.60