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Droopy Eyelid Repair Surgery (Ptosis)

Massachusetts 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?

$3,403

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

Insurers have agreed to pay about $3,403 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $2,512 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$692 to $1,445
Facility feeThe hospital or surgery center$2,512$741 to $3,890

How much rates vary

Facilitymedian $2,512 · 10th to 90th $708 to $5,370Professionalmedian $891 · 10th to 90th $603 to $1,995
$500$1K$2K$5K$10Kfacility $2,512professional $891

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
$741.31
Median
$3,388.44
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$4,677.35
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$11,220.18
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,148.15
Typical High
$2,089.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,288.25
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,949.84
Health New England
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,677.35
Typical High
$6,456.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,884.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$11,220.18
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$2,089.30

Where Massachusetts 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

Massachusetts· 34th of 50

$3,403

$891 physician + $2,512 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.