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Droopy Eyelid Repair Surgery (Ptosis)

Georgia 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?

$4,615

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

Insurers have agreed to pay about $4,615 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $3,802 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$813$692 to $1,023
Facility feeThe hospital or surgery center$3,802$1,698 to $5,370

How much rates vary

Facilitymedian $3,802 · 10th to 90th $891 to $7,413Professionalmedian $813 · 10th to 90th $575 to $1,380
$500$1K$2K$5K$10K$20Kfacility $3,802professional $813

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
$851.14
Median
$4,570.88
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,162.28
Median
$5,495.41
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$831.76
Median
$1,659.59
Typical High
$2,511.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,884.03
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$2,884.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,630.78
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,548.82

Where Georgia 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

Georgia· 22nd of 50

$4,615

$813 physician + $3,802 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.