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Droopy Eyelid Repair Surgery (Ptosis)

Ohio 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?

$5,225

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

Insurers have agreed to pay about $5,225 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $4,467 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$631 to $1,023
Facility feeThe hospital or surgery center$4,467$1,905 to $8,128

How much rates vary

Facilitymedian $4,467 · 10th to 90th $977 to $12,023Professionalmedian $759 · 10th to 90th $575 to $2,291
$500$1K$2K$5K$10Kfacility $4,467professional $759

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
$912.01
Median
$5,248.07
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$2,630.27
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$851.14
Median
$1,584.89
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,818.38
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,905.46
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,288.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,412.54
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,318.26
Medical Mutual of Ohio
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,168.69
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,230.27

Where Ohio 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

Ohio· 17th of 50

$5,225

$759 physician + $4,467 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.