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Eye Socket Floor Fracture Repair With Graft

Hawaii 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 October 2026.

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

$1,259

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,259 for this service. Most negotiated rates run $170 to $1,259.

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 $5,754 · 10th to 90th $2,818 to $8,511Professionalmedian $1,259 · 10th to 90th $30 to $1,349
$50$100$200$500$1K$2K$5Kfacility $5,754professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,818.38
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,000.00
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,258.93
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$169.82
Typical High
$1,348.96

Where Hawaii sits

The same service costs 18.2 times more in Alaska than in Texas. 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.

Hawaii· 30th of 51

$1,259

AK $4,074TX $224

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.