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Droopy Eyelid Repair Surgery (Ptosis)

Montana 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?

$1,847

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

Insurers have agreed to pay about $1,847 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $1,230 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$617$525 to $912
Facility feeThe hospital or surgery center$1,230$1,023 to $1,288

How much rates vary

Facilitymedian $1,230 · 10th to 90th $1,000 to $1,549Professionalmedian $617 · 10th to 90th $468 to $1,259
$500$2K$10K$50Kfacility $1,230professional $617

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
50 · Both sides
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$741.31
Median
$831.76
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,202.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,380.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,548.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$794.33
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,819.70

Where Montana 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

Montana· 49th of 50

$1,847

$617 physician + $1,230 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.