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Resetting an Eye Socket Fracture Without Surgery

North Carolina rates for HCPCS 21401

Realigns broken bone around the eye socket by hand and by pressure applied from outside, without cutting the area open or placing any hardware. It is used for a fracture of the socket rim or walls, other than a blowout of the floor, where the pieces can be pushed back into place. The eye and its movement are checked once the bone is repositioned.

Rates data updated July 2026.

How much does Resetting an Eye Socket Fracture Without Surgery cost?

$525

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $692 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$513$417 to $794
FacilityA hospital or hospital-owned outpatient department$692$468 to $1,514

How much rates vary

Facilitymedian $692 · 10th to 90th $331 to $6,166Professionalmedian $513 · 10th to 90th $316 to $1,096
$200.0$1.0K$5.0K$20.0Kfacility $692professional $513

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
$407.38
Median
$1,288.25
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,467.37
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$831.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,365.16

Where North Carolina sits

The same service costs 5.6 times more in Hawaii than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $525 · 30th of 51
HI $2,399KY $427

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.