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Eye Socket Floor Fracture Repair With Graft

Kansas 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.

Facilitymedian $5,248 · 10th–90th $1,380$11,4820%5%10%10th90th$5,248Professionalmedian $1,380 · 10th–90th $977$1,5850%20%10th90th$1,380$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,309.57
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$7,244.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,466.84
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,659.59