Last updated: March 2026
How Much Does Ptosis Surgery Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Functional Ptosis Repair (one eye) | $3,000 – $5,000 | $500 – $1,500 |
| Functional Ptosis Repair (both eyes) | $5,000 – $7,000 | $1,000 – $2,500 |
| Cosmetic Ptosis Repair (per eye) | $3,000 – $6,000 | $3,000 – $6,000 |
CPT/ADA Code: 67901, 67904
What Affects the Cost
- Type of provider (optometrist vs. ophthalmologist)
- Retail chain vs. private practice
- Vision insurance vs. health insurance coverage
- Geographic location
- Technology and equipment used
- Whether the condition is routine or medical
Insurance Coverage
Typical coverage: Ptosis surgery may be covered by insurance when drooping eyelids impair vision (functional ptosis). Cosmetic ptosis surgery is not covered.
Vision insurance (VSP, EyeMed) covers routine eye exams ($0-$30 copay) and provides allowances for glasses ($100-$200) or contacts ($100-$200) annually. Medical eye conditions (glaucoma, cataracts, infections) are covered by health insurance, not vision insurance. The ACA mandates pediatric vision coverage.
How to Save Money
- Walmart, Costco, and America's Best offer competitive pricing
- Online retailers (Zenni, EyeBuyDirect) save 50-80% on glasses
- Vision insurance plans start at $10-$15/month
- HSA/FSA funds can cover vision expenses tax-free
- Check for free eye care programs (EyeCare America, VISION USA)
- Buy frames at one place, lenses at another for best pricing
Related Procedures & Costs
Frequently Asked Questions
Insurance covers ptosis surgery when visual field testing demonstrates that drooping eyelids impair vision. A visual field test showing at least 30% obstruction is typically required.
Most patients recover within 1 to 2 weeks, with swelling and bruising lasting 7 to 14 days. Full healing takes 2 to 3 months.
Ptosis can recur in some patients, particularly those with age-related or neurological causes. The recurrence rate is approximately 5 to 15%.