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Balloon Opening of a Blocked Tear Duct

Montana 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.

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

$1,072

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $269 to $1,445.

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.

How much rates vary

Facilitymedian $1,072 · 10th to 90th $263 to $1,622
$500$2K$10K$50Kfacility $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,071.52
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$4,897.79

Where Montana sits

The same service costs 9.1 times more in Indiana than in Maine. 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.

Montana· 47th of 50

$1,072

IN $6,457ME $708

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.