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Droopy Eyelid Repair Surgery (Ptosis)

Tennessee 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?

$3,650

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

Insurers have agreed to pay about $3,650 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $2,818 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$832$676 to $1,000
Facility feeThe hospital or surgery center$2,818$2,089 to $4,266

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,148 to $6,457Professionalmedian $832 · 10th to 90th $550 to $1,288
$500$1K$2K$5K$10K$20Kfacility $2,818professional $832

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
$870.96
Median
$2,570.40
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,290.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$707.95
Median
$794.33
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,019.95
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,288.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$33,884.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,288.25

Where Tennessee 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

Tennessee· 32nd of 50

$3,650

$832 physician + $2,818 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.