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Custom Artificial Eye and Socket Prosthesis

Washington, DC rates for HCPCS 21077

Taking an impression and custom-building an artificial replacement for the eye and the surrounding socket area, for someone who has lost those structures to injury, disease, or surgery. The finished prosthesis is shaped and painted to match the person's own features.

Rates data updated July 2026.

How much does Custom Artificial Eye and Socket Prosthesis cost?

$2,188

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,738 to $3,162.

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.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,738 to $27,542Professionalmedian $2,188 · 10th to 90th $1,698 to $3,802
$2K$5K$10K$20Kfacility $2,188professional $2,188

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
$1,737.80
Median
$1,737.80
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$3,801.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,511.89
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,162.28
Typical High
$5,495.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,890.45
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,235.94
Typical High
$5,370.32

Where Washington, DC sits

The same service costs 2.6 times more in Alaska than in Delaware. 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.

Washington, DC· 44th of 51

$2,188

AK $5,370DE $2,042

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.