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Droopy Eyelid Repair Surgery (Ptosis)

West 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?

$5,837

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

Insurers have agreed to pay about $5,837 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $5,129 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$589 to $794
Facility feeThe hospital or surgery center$5,129$741 to $6,607

How much rates vary

Facilitymedian $5,129 · 10th to 90th $589 to $6,607Professionalmedian $708 · 10th to 90th $525 to $955
$500$1K$2K$5Kfacility $5,129professional $708

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
$588.84
Median
$5,248.07
Typical High
$6,606.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$2,630.27
Typical High
$30,199.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$954.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$724.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$2,511.89
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
$501.19
Median
$812.83
Typical High
$4,786.30
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$5,370.32
Typical High
$12,882.50
Highmark BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,071.52

Where West 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

West Virginia· 11th of 50

$5,837

$708 physician + $5,129 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.