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Balloon Opening of a Blocked Tear Duct

Wyoming 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 October 2026.

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

$3,403

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $3,403 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $2,512 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$550 to $1,660
Facility feeThe hospital or surgery center$2,512$2,512 to $2,570

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,698 to $3,020Professionalmedian $891 · 10th to 90th $331 to $3,981
$200$500$1K$2K$5K$10Kfacility $2,512professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$269.15
Typical High
$912.01
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$891.25
Typical High
$3,981.07
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$691.83
Median
$1,122.02
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$2,570.40
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$501.19
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$831.76
Typical High
$1,862.09

Where Wyoming sits

The same service costs 3.5 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Wyoming· 9th of 51

$3,403

$891 physician + $2,512 facility

CO $4,667MT $1,347

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.