go back

Droopy Eyelid Repair Surgery (Ptosis)

Connecticut 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?

$7,222

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

Insurers have agreed to pay about $7,222 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $6,310 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$741 to $1,318
Facility feeThe hospital or surgery center$6,310$4,898 to $9,120

How much rates vary

Facilitymedian $6,310 · 10th to 90th $4,169 to $10,965Professionalmedian $912 · 10th to 90th $631 to $2,818
$1K$2K$5K$10Kfacility $6,310professional $912

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
$4,570.88
Median
$6,760.83
Typical High
$10,471.29
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$912.01
Median
$1,584.89
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$977.24
Median
$1,548.82
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$1,905.46
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,737.80

Where Connecticut 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

Connecticut· 5th of 50

$7,222

$912 physician + $6,310 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.