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Droopy Eyelid Repair Surgery (Ptosis)

Iowa 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?

$5,657

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

Insurers have agreed to pay about $5,657 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $4,786 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$871$661 to $1,445
Facility feeThe hospital or surgery center$4,786$1,820 to $6,457

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,122 to $7,943Professionalmedian $871 · 10th to 90th $603 to $3,548
$500$1K$2K$5K$10Kfacility $4,786professional $871

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
$1,148.15
Median
$5,011.87
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$912.01
Median
$1,445.44
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,380.38
Typical High
$2,187.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$891.25
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$2,570.40
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,495.41
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$1,905.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,819.70

Where Iowa 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

Iowa· 14th of 50

$5,657

$871 physician + $4,786 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.