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Balloon Opening of a Blocked Tear Duct

Nevada 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 October 2026.

How much does Balloon Opening of a Blocked Tear Duct cost?

$2,617

Typical total for the visit. In Nevada, October 2026.

Insurers have agreed to pay about $2,617 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $2,138 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$191 to $832
Facility feeThe hospital or surgery center$2,138$1,175 to $3,802

How much rates vary

Facilitymedian $2,138 · 10th to 90th $955 to $4,467Professionalmedian $479 · 10th to 90th $158 to $1,096
$200$500$1K$2K$5Kfacility $2,138professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$2,238.72
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$645.65
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$120.23
Median
$181.97
Typical High
$812.83
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$112.20
Median
$169.82
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$3,801.89
Typical High
$5,128.61
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$177.83
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$478.63
Typical High
$1,096.48
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$831.76
Typical High
$1,412.54
Hometown Health
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$2.09
Median
$199.53
Typical High
$1,698.24
Select Health
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$831.76
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$218.78
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,318.26
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$588.84
Typical High
$1,071.52

Where Nevada sits

The same service costs 3.5 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Nevada· 21st of 51

$2,617

$479 physician + $2,138 facility

CO $4,667MT $1,347

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.