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Open Repair Of An Eye Socket Fracture, No Implant

Washington, DC rates for HCPCS 21406

Repairs a broken eye socket bone through an open incision, repositioning and stabilizing the bone without placing an implant. It is used for eye socket fractures other than the common blowout type, when the bone can be held in position on its own. Repairs that need an implant to rebuild the wall are a different operation.

Rates data updated July 2026.

How much does Open Repair Of An Eye Socket Fracture, No Implant cost?

$851

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $617 to $5,129.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $617 to $7,762Professionalmedian $617 · 10th to 90th $575 to $1,202
$500$1K$2K$5K$10K$20Kfacility $5,129professional $617

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
$616.60
Median
$5,128.61
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$851.14
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$8,511.38
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,621.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,174.90
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$1,621.81

Where Washington, DC sits

The same service costs 11.0 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.

Washington, DC· 26th of 51

$851

CA $6,166KY $562

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.