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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.

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

$1,445

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $5,248 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 5 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$1,380$1,023 to $1,445
FacilityA hospital or hospital-owned outpatient department$5,248$3,162 to $8,511

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,380 to $11,482Professionalmedian $1,380 · 10th to 90th $977 to $1,585
$1K$2K$5K$10Kfacility $5,248professional $1,380

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
$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

Where Kansas 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.

Kansas· 27th of 51

$1,445

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.