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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.

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

$1,479

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $1,479 for this service. Most negotiated rates run $891 to $1,698.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,479 · 10th to 90th $309 to $6,026Professionalmedian $380 · 10th to 90th $251 to $2,042
$200$500$1K$2K$5K$10Kfacility $1,479professional $380

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
$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

Where Oregon 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.

Oregon· 42nd of 50

$1,479

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.