go back

Droopy Eyelid Repair Surgery (Ptosis)

New Jersey 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?

$7,643

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,643 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $6,918 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$724$589 to $955
Facility feeThe hospital or surgery center$6,918$4,677 to $9,550

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,288 to $11,482Professionalmedian $724 · 10th to 90th $525 to $1,778
$500$1K$2K$5K$10Kfacility $6,918professional $724

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
$1,258.93
Median
$7,079.46
Typical High
$11,748.98
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,890.45
Median
$6,025.60
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$1,995.26
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$1,862.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,202.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,762.47
Typical High
$11,748.98
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$1,230.27

Where New Jersey 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

New Jersey· 3rd of 50

$7,643

$724 physician + $6,918 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.