go back

Eye Socket Floor Fracture Repair With Graft

Delaware 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?

$1,000

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $977 to $1,047.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,072 to $7,586Professionalmedian $1,000 · 10th to 90th $891 to $1,905
$1K$2K$5Kfacility $7,244professional $1,000

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
$7,244.36
Median
$7,244.36
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,995.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,698.24

Where Delaware 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.

Delaware· 50th of 51

$1,000

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.