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Eye Socket Floor Fracture Repair With Graft

Nevada 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?

$1,148

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $4,898 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$1,072$977 to $1,380
FacilityA hospital or hospital-owned outpatient department$4,898$2,951 to $6,607

How much rates vary

Facilitymedian $4,898 · 10th to 90th $977 to $8,128Professionalmedian $1,072 · 10th to 90th $912 to $4,365
$20$100$500$2K$10Kfacility $4,898professional $1,072

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
$977.24
Median
$4,786.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,862.09
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$933.25
Typical High
$1,659.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$891.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,548.13
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,862.09

Where Nevada 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.

Nevada· 44th of 51

$1,148

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.