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Droopy Eyelid Repair Surgery (Ptosis)

Virginia 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?

$4,244

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

Insurers have agreed to pay about $4,244 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $3,467 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$776$631 to $1,023
Facility feeThe hospital or surgery center$3,467$813 to $6,607

How much rates vary

Facilitymedian $3,467 · 10th to 90th $617 to $9,772Professionalmedian $776 · 10th to 90th $513 to $3,548
$500$1K$2K$5K$10Kfacility $3,467professional $776

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
$630.96
Median
$4,677.35
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$912.01
Median
$1,445.44
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,737.80
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$2,290.87
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
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
$549.54
Median
$794.33
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,318.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,258.93

Where Virginia 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

Virginia· 27th of 50

$4,244

$776 physician + $3,467 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.