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Droopy Eyelid Repair Surgery (Ptosis)

Utah 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?

$5,312

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

Insurers have agreed to pay about $5,312 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $4,571 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$741$603 to $1,259
Facility feeThe hospital or surgery center$4,571$2,630 to $6,026

How much rates vary

Facilitymedian $4,571 · 10th to 90th $741 to $7,943Professionalmedian $741 · 10th to 90th $525 to $1,585
$50$200$1K$5Kfacility $4,571professional $741

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
$741.31
Median
$4,570.88
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$831.76
Median
$851.14
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,737.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$6,918.31
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,011.87
Median
$6,918.31
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,445.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,318.26
Typical High
$1,548.82
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,897.79
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,202.26

Where Utah 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

Utah· 16th of 50

$5,312

$741 physician + $4,571 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.