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Droopy Eyelid Repair Surgery (Ptosis)

Kentucky 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?

$4,339

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

Insurers have agreed to pay about $4,339 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $3,631 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$708$603 to $871
Facility feeThe hospital or surgery center$3,631$2,089 to $5,754

How much rates vary

Facilitymedian $3,631 · 10th to 90th $794 to $8,913Professionalmedian $708 · 10th to 90th $525 to $1,096
$500$1K$2K$5K$10Kfacility $3,631professional $708

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
$630.96
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,047.13
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$676.08
Median
$870.96
Typical High
$1,548.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$851.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$4,786.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,202.26

Where Kentucky 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

Kentucky· 26th of 50

$4,339

$708 physician + $3,631 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.