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Eye Socket Floor Fracture Repair With Graft

Nebraska 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?

$1,905

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $9,550 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$1,585$977 to $2,188
FacilityA hospital or hospital-owned outpatient department$9,550$7,413 to $13,804

How much rates vary

Facilitymedian $9,550 · 10th to 90th $1,660 to $18,197Professionalmedian $1,585 · 10th to 90th $912 to $5,495
$1K$2K$5K$10K$20Kfacility $9,550professional $1,585

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
$7,244.36
Median
$11,481.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$5,495.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$11,748.98
Typical High
$22,908.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,238.72
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$6,918.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$2,691.53

Where Nebraska 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.

Nebraska· 10th of 51

$1,905

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.