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Droopy Eyelid Repair Surgery (Ptosis)

Vermont 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?

$724

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $724 for this service. Most negotiated rates run $661 to $1,023.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $724 · 10th to 90th $603 to $1,380
$500$1Kprofessional $724

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
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$912.01
Typical High
$1,288.25
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,862.09

Where Vermont 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.

Vermont· 46th of 51

$724

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.