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Limited Eyelid Repair Surgery

West Virginia 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?

$1,226

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

Insurers have agreed to pay about $1,226 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $676 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$550$447 to $631
Facility feeThe hospital or surgery center$676$575 to $5,495

How much rates vary

Facilitymedian $676 · 10th to 90th $447 to $5,495Professionalmedian $550 · 10th to 90th $389 to $724
$500$1K$2K$5Kfacility $676professional $550

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
$446.68
Median
$645.65
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$724.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$549.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$3,467.37
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
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
$354.81
Median
$524.81
Typical High
$851.14

Where West Virginia 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

West Virginia· 50th of 50

$1,226

$550 physician + $676 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.