go back

Droopy Eyelid Repair Surgery (Ptosis)

Delaware 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?

$6,734

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

Insurers have agreed to pay about $6,734 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $6,026 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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$617 to $813
Facility feeThe hospital or surgery center$6,026$1,000 to $7,244

How much rates vary

Facilitymedian $6,026 · 10th to 90th $603 to $7,244Professionalmedian $708 · 10th to 90th $589 to $1,380
$500$1K$2K$5Kfacility $6,026professional $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. 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
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$977.24

Where Delaware 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

Delaware· 8th of 50

$6,734

$708 physician + $6,026 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.