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Eye Socket Floor Fracture Repair With Graft

Oregon 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 $1,259$14,1250%20%40%10th90th$1,950Professionalmedian $1,778 · 10th–90th $912$2,8180%20%10th90th$1,778$20.0$100.0$500.0$2.0K$10.0K

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
$2,511.89
Median
$7,943.28
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$2,691.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,905.46
Typical High
$2,398.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$2,238.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,778.28
Typical High
$2,398.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,949.84
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$2,290.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,905.46
Typical High
$2,691.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$19,054.61
Typical High
$23,442.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,344.23
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$17,378.01
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,905.46
Typical High
$2,754.23