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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 July 2026.

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

$2,630

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $2,042 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 6 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$2,630$933 to $4,169
FacilityA hospital or hospital-owned outpatient department$2,042$1,202 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $955 to $12,023Professionalmedian $2,630 · 10th to 90th $912 to $5,370
$1K$2K$5K$10K$20Kfacility $2,042professional $2,630

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. 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
Global
Typical Low
$2,951.21
Median
$12,022.64
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$3,388.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,370.32
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,388.44
Typical High
$5,248.07
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,754.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,370.32
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,380.38
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,691.53
Typical High
$5,888.44

Where Alaska sits

The same service costs 8.1 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.

Alaska· 4th of 51

$2,630

CA $7,943KY $977

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.