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Open Repair Of Eye Socket Floor Fracture, Combined Approach

Michigan rates for HCPCS 21387

This repairs a fracture at the bottom of the eye socket, where bone that supports the eye has broken and needs to be surgically restored to prevent the eye from sinking or eye muscles from becoming trapped. It uses a combined surgical approach, working through more than one access route to reach and correct the fracture. It's typically reserved for more complex fracture patterns than can be reached through a single approach.

Rates data updated July 2026.

How much does Open Repair Of Eye Socket Floor Fracture, Combined Approach cost?

$977

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $5,754 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 5 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$891$724 to $1,072
FacilityA hospital or hospital-owned outpatient department$5,754$4,898 to $5,754

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,096 to $8,128Professionalmedian $891 · 10th to 90th $661 to $1,622
$500$1K$2K$5K$10Kfacility $5,754professional $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
$977.24
Median
$5,754.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$2,570.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,943.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,174.90

Where Michigan sits

The same service costs 8.9 times more in California than in Kentucky. 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.

Michigan· 35th of 51

$977

CA $6,761KY $759

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.