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Eye Socket Floor Fracture Repair With Graft

Minnesota 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 $5,888 · 10th–90th $1,585$17,7830%10%10th90th$5,888Professionalmedian $2,455 · 10th–90th $1,259$3,7150%10%10th90th$2,455$50.0$200.0$1.0K$5.0K$20.0K

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
$1,000.00
Median
$1,000.00
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$13,182.57
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,511.89
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,951.21
Typical High
$4,365.16
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,890.45
Typical High
$7,585.78
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,949.84
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,862.09
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$10,964.78
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$3,801.89