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Eye Socket Floor Fracture Repair With Graft

Arkansas 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?

$1,288

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,344 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 4 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$1,175$955 to $1,288
FacilityA hospital or hospital-owned outpatient department$2,344$1,820 to $5,370

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,202 to $6,457Professionalmedian $1,175 · 10th to 90th $891 to $1,549
$1K$2K$5K$10Kfacility $2,344professional $1,175

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
$1,202.26
Median
$1,862.09
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,168.69
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,905.46

Where Arkansas 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.

Arkansas· 32nd of 51

$1,288

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.