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Balloon Opening of a Blocked Tear Duct

Nebraska 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?

$4,365

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $2,344 to $7,943.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,413 to $13,490Professionalmedian $1,660 · 10th to 90th $363 to $2,089
$200$500$1K$2K$5K$10K$20Kfacility $5,012professional $1,660

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,011.87
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,025.60
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$1,318.26
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,659.59
Typical High
$2,089.30
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$3,548.13
Typical High
$6,760.83

Where Nebraska 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.

Nebraska· 11th of 50

$4,365

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.