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Eye Socket Floor Fracture Repair With Graft

Kentucky 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?

$977

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $5,495 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 6 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$977$891 to $1,230
FacilityA hospital or hospital-owned outpatient department$5,495$1,096 to $10,471

How much rates vary

Facilitymedian $5,495 · 10th to 90th $851 to $11,220Professionalmedian $977 · 10th to 90th $813 to $1,738
$1K$2K$5K$10Kfacility $5,495professional $977

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
$851.14
Median
$1,202.26
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,318.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,659.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$6,025.60
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,949.84

Where Kentucky 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.

Kentucky· 51st of 51

$977

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.