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Droopy Eyelid Repair Surgery (Ptosis)

Washington, DC 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?

$933

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $708 to $1,820.

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.

How much rates vary

Facilitymedian $3,388 · 10th to 90th $955 to $7,762Professionalmedian $759 · 10th to 90th $525 to $977
$500$1K$2K$5K$10K$20Kfacility $3,388professional $759

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
$954.99
Median
$2,344.23
Typical High
$6,918.31
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$954.99
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$251.19
Median
$1,445.44
Typical High
$2,041.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,862.09
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,348.96
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$2,089.30

Where Washington, DC sits

The same service costs 3.2 times more in Wyoming 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.

Washington, DC· 20th of 51

$933

WY $2,089MT $646

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.