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Eye Socket Floor Fracture Repair With Graft

Washington, DC 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?

$1,514

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $1,047 to $7,244.

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.

How much rates vary

Facilitymedian $7,762 · 10th to 90th $1,047 to $10,233Professionalmedian $1,047 · 10th to 90th $1,000 to $2,138
$1K$2K$5K$10K$20Kfacility $7,762professional $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
$1,047.13
Median
$7,244.36
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$5,623.41
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$2,041.74
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,412.54
Typical High
$2,754.23

Where Washington, DC 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.

Washington, DC· 25th of 51

$1,514

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.