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Open Repair Of An Eye Socket Fracture With An Implant

California rates for HCPCS 21407

Surgery that repairs a broken eye socket bone through an open incision and places a manufactured implant to rebuild and support the damaged wall. It is used for eye socket fractures other than the common blowout type. No bone is taken from elsewhere in the body here; repairs that rebuild the socket with the patient's own bone are a different operation.

Rates data updated July 2026.

How much does Open Repair Of An Eye Socket Fracture With An Implant cost?

$11,248

Typical total for the visit. In California, July 2026.

Insurers have agreed to pay about $11,248 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $10,471 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$776$617 to $1,479
Facility feeThe hospital or surgery center$10,471$6,918 to $14,125

How much rates vary

Facilitymedian $10,471 · 10th to 90th $3,388 to $18,197Professionalmedian $776 · 10th to 90th $525 to $4,074
$100$500$2K$10Kfacility $10,471professional $776

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
$3,981.07
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,905.46
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$9,549.93
Typical High
$19,498.45
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,801.89
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$812.83
Typical High
$1,698.24
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,412.54
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
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,698.24
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,748.98
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,445.44

Where California sits

The same service costs 12.2 times more in Indiana 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.

Physician feeFacility fee

California· 5th of 50

$11,248

$776 physician + $10,471 facility

IN $15,796WV $1,293

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.