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Droopy Eyelid Repair Surgery (Ptosis)

New Mexico 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?

$4,087

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

Insurers have agreed to pay about $4,087 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $3,236 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$851$631 to $1,175
Facility feeThe hospital or surgery center$3,236$955 to $6,918

How much rates vary

Facilitymedian $3,236 · 10th to 90th $724 to $9,772Professionalmedian $851 · 10th to 90th $550 to $1,288
$500$1K$2K$5K$10Kfacility $3,236professional $851

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
$776.25
Median
$1,122.02
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$831.76
Typical High
$4,466.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,456.54
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$123.03
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,165.95
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,258.93

Where New Mexico 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 Mexico· 29th of 50

$4,087

$851 physician + $3,236 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.