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Droopy Eyelid Repair Surgery (Ptosis)

Illinois 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?

$3,286

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

Insurers have agreed to pay about $3,286 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $2,455 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$631 to $1,202
Facility feeThe hospital or surgery center$2,455$1,148 to $5,370

How much rates vary

Facilitymedian $2,455 · 10th to 90th $759 to $9,772Professionalmedian $832 · 10th to 90th $550 to $1,862
$500$1K$2K$5K$10K$20Kfacility $2,455professional $832

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
$724.44
Median
$2,089.30
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,584.89
Median
$5,128.61
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$1,071.52
Typical High
$5,495.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,715.35
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,318.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$3,467.37
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$724.44
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,388.44
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,445.44

Where Illinois 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

Illinois· 38th of 50

$3,286

$832 physician + $2,455 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.