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Eye Socket Floor Fracture Repair With Graft

Utah 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?

$1,445

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $6,026 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 7 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$1,380$977 to $2,042
FacilityA hospital or hospital-owned outpatient department$6,026$3,388 to $9,333

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,380 to $12,023Professionalmedian $1,380 · 10th to 90th $891 to $5,495
$50$200$1K$5Kfacility $6,026professional $1,380

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
$1,380.38
Median
$4,570.88
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,949.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,481.54
Typical High
$17,782.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$2,570.40
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$1,862.09
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,698.24

Where Utah 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.

Utah· 28th of 51

$1,445

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.