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Balloon Opening of a Blocked Tear Duct

Utah 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 $3,311 · 10th–90th $692$6,4570%10%10th90th$3,311Professionalmedian $977 · 10th–90th $204$1,4450%10%10th90th$977$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$691.83
Median
$3,162.28
Typical High
$6,456.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$6,918.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$977.24
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,897.79
Typical High
$7,079.46