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Eye Socket Floor Fracture Repair With Graft

Rhode Island 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?

$1,288

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $933 to $1,514.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $3,548 to $13,183Professionalmedian $1,259 · 10th to 90th $912 to $1,905
$1K$2K$5K$10Kfacility $6,026professional $1,259

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,445.44
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,413.10
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$2,238.72

Where Rhode Island 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.

Rhode Island· 35th of 51

$1,288

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.