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Eye Socket Floor Fracture Repair With Graft

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $10,965 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$1,148$977 to $1,288
FacilityA hospital or hospital-owned outpatient department$10,965$1,549 to $17,378

How much rates vary

Facilitymedian $10,965 · 10th to 90th $1,148 to $21,878Professionalmedian $1,148 · 10th to 90th $891 to $2,570
$50$200$1K$5K$20Kfacility $10,965professional $1,148

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
$1,148.15
Median
$12,882.50
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$9,332.54
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,737.80

Where South Carolina 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.

South Carolina· 43rd 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.