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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.

Facilitymedian $5,012 · 10th–90th $1,413$13,4900%10%10th90th$5,012Professionalmedian $1,660 · 10th–90th $363$2,0890%20%10th90th$1,660$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$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