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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.

Facilitymedian $9,550 · 10th–90th $1,660$18,1970%10%10th90th$9,550Professionalmedian $1,585 · 10th–90th $912$5,4950%10%20%10th90th$1,585$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
$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