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Rebuilding The Eye Socket With Bone Grafts

Montana rates for HCPCS 21256

Reshapes and enlarges the bony eye socket by cutting the surrounding bone and adding grafts of the patient's own bone, working from outside the skull rather than through it. It is used when a socket is underdeveloped or misshapen, for example when the eye itself did not grow to full size, so the socket can properly hold and support the eye or an artificial eye. The work rebuilds the walls of the socket rather than shifting the whole socket to a new position.

Rates data updated October 2026.

How much does Rebuilding The Eye Socket With Bone Grafts cost?

$1,950

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $1,950 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,950$1,288 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,950$1,905 to $2,239

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,698 to $6,166Professionalmedian $1,950 · 10th to 90th $85 to $2,089
$100$200$500$1K$2K$5K$10Kfacility $1,950professional $1,950

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,995.26
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$6,165.95
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$2,187.76
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,905.46
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$6,165.95
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,778.28
Typical High
$1,995.26
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,290.87

Where Montana sits

The same service costs 16.2 times more in Alaska than in Texas. 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.

Montana· 15th of 51

$1,950

AK $5,012TX $309

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.