go back

Balloon Opening of a Blocked Tear Duct

New Mexico 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 $245$10,2330%5%10%10th90th$5,012$200.0$1.0K$5.0K$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
$204.17
Median
$1,258.93
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,760.83
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$645.65
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,165.95
Typical High
$9,772.37