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Balloon Opening of a Blocked Tear Duct

Oregon 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 $1,479 · 10th–90th $309$6,0260%10%20%10th90th$1,479Professionalmedian $380 · 10th–90th $251$2,0420%20%10th90th$380$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$389.05
Median
$2,187.76
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$2,041.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$831.76
Typical High
$1,819.70
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$891.25
Typical High
$1,949.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,585.78
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,128.31
Typical High
$12,022.64