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Surgery to Move Widely Spaced Eye Sockets Closer

Washington rates for HCPCS 21263

Reconstructive surgery for a person whose eye sockets sit abnormally far apart, usually because of a difference in the way the skull and face formed before birth. The bone around each eye socket is cut free as a block, moved toward the midline, and secured in its corrected position.

Rates data updated July 2026.

Facilitymedian $4,677 · 10th–90th $2,239$18,6210%10%10th90th$4,677Professionalmedian $3,236 · 10th–90th $1,778$6,3100%10%20%10th90th$3,236$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,128.61
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,884.03
Typical High
$6,309.57
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$32,359.37
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,715.35
Typical High
$6,760.83
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,890.45
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,715.35
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$144.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,168.69
Typical High
$4,466.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,090.30
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,466.84
Typical High
$5,888.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$17,378.01
Typical High
$31,622.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$17,782.79
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$6,165.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$4,265.80