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Balloon Opening of a Blocked Tear Duct

South Dakota 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 $1,380 · 10th–90th $195$3,0900%50%10th90th$1,380Professionalmedian $977 · 10th–90th $257$1,5490%10%10th90th$977$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,380.38
Median
$1,380.38
Typical High
$3,090.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$660.69
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,659.59
Typical High
$1,949.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$977.24
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,897.79