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Droopy Eyelid Repair Surgery (Ptosis)

Colorado 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?

$6,290

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

Insurers have agreed to pay about $6,290 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $5,495 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$646 to $1,175
Facility feeThe hospital or surgery center$5,495$3,236 to $7,762

How much rates vary

Facilitymedian $5,495 · 10th to 90th $912 to $10,471Professionalmedian $794 · 10th to 90th $525 to $1,862
$500$1K$2K$5K$10Kfacility $5,495professional $794

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
$1,621.81
Median
$5,623.41
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$912.01
Median
$1,202.26
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$660.69
Median
$912.01
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,348.96
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$2,454.71
Select Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,047.13
Typical High
$1,621.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,584.89

Where Colorado 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

Colorado· 10th of 50

$6,290

$794 physician + $5,495 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.