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Custom Artificial Eye and Socket Prosthesis

Indiana 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?

$2,344

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $15,488 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,089$1,820 to $2,692
FacilityA hospital or hospital-owned outpatient department$15,488$10,471 to $22,909

How much rates vary

Facilitymedian $15,488 · 10th to 90th $3,548 to $25,704Professionalmedian $2,089 · 10th to 90th $1,660 to $3,631
$2K$5K$10K$20Kfacility $15,488professional $2,089

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
$1,995.26
Median
$2,511.89
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$17,378.01
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$4,168.69

Where Indiana 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.

Indiana· 32nd of 51

$2,344

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.