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Open Repair Of A Broken Eye Socket Floor

Massachusetts rates for HCPCS 21386

Surgical repair of a fracture in the thin bone that forms the floor of the eye socket, an injury that can trap eye tissue underneath and affect eye movement. The repair is approached through an incision near the eye itself, freeing any trapped tissue and restoring the shape of the eye socket floor.

Rates data updated July 2026.

How much does Open Repair Of A Broken Eye Socket Floor cost?

$4,280

Typical total for the visit. In Massachusetts, July 2026.

Insurers have agreed to pay about $4,280 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $3,388 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$724 to $1,479
Facility feeThe hospital or surgery center$3,388$2,692 to $5,495

How much rates vary

Facilitymedian $3,388 · 10th to 90th $813 to $7,762Professionalmedian $891 · 10th to 90th $646 to $1,905
$1K$2K$5K$10Kfacility $3,388professional $891

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
$2,570.40
Median
$3,630.78
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,862.09
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,981.07
Typical High
$15,135.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,905.46
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,202.26
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,202.26
Typical High
$1,905.46
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,981.07
Typical High
$15,135.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$2,089.30

Where Massachusetts sits

The same service costs 11.6 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Massachusetts· 36th of 50

$4,280

$891 physician + $3,388 facility

IN $16,196WV $1,401

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.