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Eye Socket Floor Fracture Repair With Graft

Alaska rates for HCPCS 21395

Repairs a break in the thin floor of the eye socket through an incision made around the eye, rebuilding the missing bone with a graft of the patient's own bone. This kind of break happens when a blow to the eye pushes the socket floor downward, letting tissue drop into the sinus below and causing double vision or a sunken-looking eye. Restoring the floor lifts the eye back into position.

Rates data updated October 2026.

How much does Eye Socket Floor Fracture Repair With Graft cost?

$4,074

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $7,079 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$4,074$2,692 to $4,169
FacilityA hospital or hospital-owned outpatient department$7,079$5,754 to $9,772

How much rates vary

Facilitymedian $7,079 · 10th to 90th $4,169 to $19,498Professionalmedian $4,074 · 10th to 90th $1,047 to $4,898
$100$500$2K$10Kfacility $7,079professional $4,074

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$14,125.38
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$4,897.79
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$7,762.47
Typical High
$23,988.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$3,388.44
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$7,079.46
Moda Health
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$3,630.78
Typical High
$5,248.07
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$6,456.54
Typical High
$8,709.64
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Providence
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$7,413.10
Typical High
$23,988.33
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,380.38
Typical High
$3,388.44
United
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$7,585.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$2,691.53
Typical High
$5,888.44

Where Alaska sits

The same service costs 18.2 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.

Alaska· 1st of 51

$4,074

AK $4,074TX $224

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.