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Droopy Eyelid Repair Surgery (Ptosis)

Florida 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?

$6,519

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

Insurers have agreed to pay about $6,519 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $5,888 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$562 to $794
Facility feeThe hospital or surgery center$5,888$2,951 to $9,120

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,047 to $11,749Professionalmedian $631 · 10th to 90th $468 to $1,072
$500$1K$2K$5K$10Kfacility $5,888professional $631

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
$1,000.00
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,548.13
Median
$6,456.54
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$741.31
Median
$831.76
Typical High
$4,466.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$1,479.11
Typical High
$1,584.89
AvMed
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,511.89
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$1,445.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,888.44
Typical High
$11,481.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$5,370.32
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,230.27
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$758.58

Where Florida 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

Florida· 9th of 50

$6,519

$631 physician + $5,888 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.