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Eye Socket Floor Fracture Repair With Graft

Iowa 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?

$1,660

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $6,918 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 7 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$1,549$1,023 to $2,291
FacilityA hospital or hospital-owned outpatient department$6,918$5,012 to $8,511

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,585 to $13,490Professionalmedian $1,549 · 10th to 90th $912 to $5,754
$1K$2K$5K$10Kfacility $6,918professional $1,549

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
$1,819.70
Median
$6,918.31
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$2,884.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,380.38
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$14,454.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$2,187.76

Where Iowa 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.

Iowa· 15th of 51

$1,660

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.