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Droopy Eyelid Repair Surgery (Ptosis)

Idaho 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?

$3,090

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

Insurers have agreed to pay about $3,090 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $2,239 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$851$631 to $1,148
Facility feeThe hospital or surgery center$2,239$1,514 to $4,786

How much rates vary

Facilitymedian $2,239 · 10th to 90th $891 to $7,586Professionalmedian $851 · 10th to 90th $525 to $1,318
$500$1K$2K$5K$10Kfacility $2,239professional $851

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
$1,513.56
Median
$1,905.46
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$912.01
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,818.38
Typical High
$6,025.60
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,230.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$1,698.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$7,585.78
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,025.60
Median
$8,317.64
Typical High
$11,481.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,548.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,041.74
Typical High
$3,630.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,348.96

Where Idaho 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

Idaho· 40th of 50

$3,090

$851 physician + $2,239 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.