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Nonsurgical Care Of An Eye Socket Fracture

Vermont rates for HCPCS 21400

Treatment of a broken eye socket without surgery and without moving the bone back into position. The fracture is managed where it sits. Blowout fractures of the socket floor are not covered.

Rates data updated July 2026.

How much does Nonsurgical Care Of An Eye Socket Fracture cost?

$229

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $186 to $251.

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

Professionalmedian $229 · 10th to 90th $186 to $288
$200$500professional $229

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
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$398.11
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$489.78

Where Vermont sits

The same service costs 10.0 times more in Hawaii than in West Virginia. 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.

Vermont· 31st of 51

$229

HI $1,862WV $186

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.