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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 October 2026.

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

$1,585

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $1,549 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,585$1,047 to $1,622
FacilityA hospital or hospital-owned outpatient department$1,549$1,514 to $1,778

How much rates vary

Facilitymedian $1,549 · 10th to 90th $1,413 to $4,898Professionalmedian $1,585 · 10th to 90th $85 to $1,698
$100$200$500$1K$2K$5K$10Kfacility $1,549professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,071.52
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$4,897.79
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,513.56
Typical High
$1,778.28
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$4,897.79
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,445.44
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$1,862.09

Where Montana sits

The same service costs 18.2 times more in Alaska than in Texas. 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· 17th of 51

$1,585

AK $4,074TX $224

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.