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Eye Socket Floor Fracture Repair With Graft

Idaho 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?

$1,622

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $4,677 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 8 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$1,514$1,072 to $1,950
FacilityA hospital or hospital-owned outpatient department$4,677$1,622 to $9,772

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,023 to $15,136Professionalmedian $1,514 · 10th to 90th $1,000 to $2,042
$1K$2K$5K$10K$20Kfacility $4,677professional $1,514

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
$4,466.84
Median
$4,786.30
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$7,244.36
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,949.84
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,778.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,949.84
Typical High
$2,398.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$7,585.78
Typical High
$12,302.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,548.82
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$12,022.64
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,089.30

Where Idaho 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.

Idaho· 19th of 51

$1,622

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.