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Droopy Eyelid Repair Surgery (Ptosis)

Rhode Island 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?

$741

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $741 for this service. Most negotiated rates run $603 to $832.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,754 to $7,413Professionalmedian $708 · 10th to 90th $575 to $871
$500$1K$2K$5K$10Kfacility $3,802professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$1,148.15

Where Rhode Island sits

The same service costs 3.2 times more in Wyoming than in Montana. 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.

Rhode Island· 43rd of 51

$741

WY $2,089MT $646

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.