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Droopy Eyelid Repair Surgery (Ptosis)

North Carolina 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?

$2,896

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,896 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $2,188 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$575 to $871
Facility feeThe hospital or surgery center$2,188$794 to $8,318

How much rates vary

Facilitymedian $2,188 · 10th to 90th $631 to $8,710Professionalmedian $708 · 10th to 90th $550 to $1,660
$500$1K$2K$5K$10Kfacility $2,188professional $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
$645.65
Median
$3,019.95
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$851.14
Typical High
$3,162.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,318.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,445.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36

Where North Carolina 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

North Carolina· 41st of 50

$2,896

$708 physician + $2,188 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.