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Balloon Opening of a Blocked Tear Duct

Washington 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 $1,549 · 10th–90th $316$10,2330%5%10th90th$1,549$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$316.23
Median
$2,187.76
Typical High
$12,302.69
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,454.71
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,023.29
Typical High
$2,398.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$1,698.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,202.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,079.46
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$7,079.46
Typical High
$13,489.63