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Balloon Opening of a Blocked Tear Duct

New Jersey 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 $6,026 · 10th–90th $1,259$10,4710%10%10th90th$6,026$100.0$500.0$2.0K$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
$831.76
Median
$6,025.60
Typical High
$10,471.29
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$7,244.36
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29