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Eye Socket Floor Fracture Repair With Graft

Tennessee 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 $4,365 · 10th–90th $1,820$10,2330%5%10%10th90th$4,365Professionalmedian $1,202 · 10th–90th $891$2,1880%20%10th90th$1,202$50.0$200.0$1.0K$5.0K$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
$1,380.38
Median
$2,818.38
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,760.83
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,137.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$16,982.44
Typical High
$16,982.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,089.30