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Balloon Opening of a Blocked Tear Duct

Ohio 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?

$3,020

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $1,585 to $5,129.

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 $3,020 · 10th to 90th $501 to $10,233
$200$500$1K$2K$5K$10Kfacility $3,020

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
$288.40
Median
$3,019.95
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,047.13
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,168.69
Typical High
$6,918.31

Where Ohio 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.

Ohio· 22nd of 50

$3,020

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.