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Droopy Eyelid Repair Surgery (Ptosis)

Indiana 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?

$7,331

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

Insurers have agreed to pay about $7,331 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $6,607 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$724$617 to $832
Facility feeThe hospital or surgery center$6,607$1,905 to $9,550

How much rates vary

Facilitymedian $6,607 · 10th to 90th $832 to $10,965Professionalmedian $724 · 10th to 90th $550 to $1,096
$500$1K$2K$5K$10Kfacility $6,607professional $724

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
$660.69
Median
$1,202.26
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,309.57
Median
$6,760.83
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$933.25
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,174.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,317.64
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$776.25
Median
$1,318.26
Typical High
$1,819.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,370.32
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,230.27

Where Indiana 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

Indiana· 4th of 50

$7,331

$724 physician + $6,607 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.