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Eye Socket Floor Fracture Repair With Graft

North Carolina 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 $1,950 · 10th–90th $977$14,4540%5%10%10th90th$1,950Professionalmedian $1,175 · 10th–90th $977$2,9510%10%10th90th$1,175$500.0$1.0K$2.0K$5.0K$10.0K$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
$977.24
Median
$3,715.35
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,047.13
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,187.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,344.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$2,089.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$16,982.44
Typical High
$16,982.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64