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Eye Socket Floor Fracture Repair With Graft

Texas 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?

$1,514

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $4,169 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 10 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 $1,479
FacilityA hospital or hospital-owned outpatient department$4,169$1,905 to $7,762

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,047 to $13,490Professionalmedian $1,072 · 10th to 90th $891 to $1,950
$200$500$1K$2K$5K$10Kfacility $4,169professional $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
$1,000.00
Median
$3,715.35
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,762.47
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,584.89
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$870.96
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,089.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$2,137.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$128.82
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,025.60
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,659.59
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,202.26

Where Texas 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.

Texas· 24th of 51

$1,514

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.