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Droopy Eyelid Repair Surgery (Ptosis)

Michigan 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?

$1,841

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

Insurers have agreed to pay about $1,841 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $1,047 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$794$661 to $955
Facility feeThe hospital or surgery center$1,047$832 to $4,898

How much rates vary

Facilitymedian $1,047 · 10th to 90th $813 to $7,244Professionalmedian $794 · 10th to 90th $550 to $1,175
$500$1K$2K$5K$10Kfacility $1,047professional $794

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
$812.83
Median
$1,047.13
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,630.78
Median
$5,011.87
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$794.33
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,174.90
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$724.44
Typical High
$1,348.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,862.09
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,174.90
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$4,073.80
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,096.48

Where Michigan 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

Michigan· 50th of 50

$1,841

$794 physician + $1,047 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.