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Limited Eyelid Repair Surgery

Montana rates for HCPCS 67961

This surgery removes an abnormal area of the eyelid, such as a tumor or small scar tissue, and then reconstructs a smaller portion of the eyelid's structure, potentially including its edge. It covers the smallest extent within this tiered group of repair procedures, used when a limited area of the eyelid needs to be rebuilt.

Rates data updated July 2026.

How much does Limited Eyelid Repair Surgery cost?

$1,517

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

Insurers have agreed to pay about $1,517 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $955 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$562$437 to $933
Facility feeThe hospital or surgery center$955$776 to $1,023

How much rates vary

Facilitymedian $955 · 10th to 90th $776 to $1,175Professionalmedian $562 · 10th to 90th $204 to $1,148
$200$1K$5K$20K$100Kfacility $955professional $562

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
$204.17
Median
$489.78
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$954.99
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,096.48
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$616.60
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,445.44
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,148.15

Where Montana sits

The same service costs 7.9 times more in Wyoming than in West Virginia. 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

Montana· 46th of 50

$1,517

$562 physician + $955 facility

WY $9,642WV $1,226

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.