go back

Droopy Eyelid Repair Surgery (Ptosis)

South Dakota 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?

$1,938

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,938 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $891 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$1,047$646 to $1,380
Facility feeThe hospital or surgery center$891$692 to $1,660

How much rates vary

Facilitymedian $891 · 10th to 90th $550 to $4,365Professionalmedian $1,047 · 10th to 90th $550 to $1,738
$500$1K$2K$5Kfacility $891professional $1,047

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
$602.56
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$707.95
Median
$707.95
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$870.96
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,174.90
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$1,778.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,230.27
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$1,905.46

Where South Dakota 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

South Dakota· 46th of 50

$1,938

$1,047 physician + $891 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.