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Rebuilding A Whole Eyelid With A Borrowed Flap

California rates for HCPCS 67974

Reconstruction of an entire eyelid through its full thickness, using a flap of lining and supporting tissue borrowed from the opposite eyelid of the same eye. It is done after cancer removal or severe injury has left too little tissue for a simple repair. The flap keeps its own blood supply, so the eye is usually closed over for a period while it takes.

Rates data updated July 2026.

How much does Rebuilding A Whole Eyelid With A Borrowed Flap cost?

$7,413

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $5,012 to $10,471.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,884 to $15,849Professionalmedian $955 · 10th to 90th $724 to $1,905
$100.0$1.0K$10.0Kfacility $7,413professional $955

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
$2,951.21
Median
$7,079.46
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$5,011.87
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$3,090.30
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,905.46
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$45,708.82
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$9,772.37
Typical High
$20,892.96

Where California sits

The same service costs 12.6 times more in Indiana than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $7,413 · 5th of 50
IN $10,233ME $813

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.