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Eye Socket Floor Fracture Repair With Graft

Montana 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?

$1,660

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $1,738 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$1,413$1,122 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,738$1,660 to $1,778

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,318 to $2,089Professionalmedian $1,413 · 10th to 90th $933 to $2,692
$100$200$500$1K$2K$5K$10Kfacility $1,738professional $1,413

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
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$1,698.24
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,089.30
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,380.38
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,659.59
Typical High
$1,949.84

Where Montana 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.

Montana· 14th of 51

$1,660

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.