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Balloon Opening of a Blocked Tear Duct

Wisconsin 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 $4,677 · 10th–90th $1,318$7,5860%10%10th90th$4,677Professionalmedian $912 · 10th–90th $263$2,7540%5%10%10th90th$912$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
$234.42
Median
$1,318.26
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,570.40
Typical High
$4,168.69
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,318.26
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,479.11
Typical High
$8,317.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$588.84
Typical High
$1,479.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$912.01
Typical High
$2,691.53
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$6,165.95
Typical High
$6,165.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,079.46
Typical High
$8,709.64