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Droopy Eyelid Repair Surgery (Ptosis)

Arizona rates for HCPCS 67904

Surgical correction of a drooping upper eyelid by tightening or repositioning the muscle that lifts the eyelid, performed through an incision on the outside of the eyelid. It's used to raise the eyelid to a more normal position and can help improve vision if the droop is blocking sight.

Rates data updated July 2026.

How much does Droopy Eyelid Repair Surgery (Ptosis) cost?

$4,782

Typical total for the visit. In Arizona, July 2026.

Insurers have agreed to pay about $4,782 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $4,074 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$575 to $851
Facility feeThe hospital or surgery center$4,074$2,399 to $5,623

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,175 to $8,318Professionalmedian $708 · 10th to 90th $490 to $1,047
$500$1K$2K$5Kfacility $4,074professional $708

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,786.30
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$741.31
Median
$912.01
Typical High
$5,495.41
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,548.13
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$7,244.36
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$1,047.13

Where Arizona sits

The same service costs 5.2 times more in California than in Michigan. 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

Arizona· 21st of 50

$4,782

$708 physician + $4,074 facility

CA $9,604MI $1,841

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.