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Balloon Opening of a Blocked Tear Duct

North Carolina 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 $1,660 · 10th–90th $195$7,2440%5%10%10th90th$1,660$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
$331.13
Median
$3,548.13
Typical High
$7,244.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$724.44
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$6,165.95