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Eye Socket Floor Fracture Repair With Graft

Arizona 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?

$1,380

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $5,370 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$1,047$912 to $1,380
FacilityA hospital or hospital-owned outpatient department$5,370$3,090 to $7,586

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,738 to $11,482Professionalmedian $1,047 · 10th to 90th $851 to $2,630
$1K$2K$5K$10Kfacility $5,370professional $1,047

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
$2,187.76
Median
$5,370.32
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$7,585.78
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,623.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,862.09

Where Arizona 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.

Arizona· 29th of 51

$1,380

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.