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Open Repair Of An Eye Socket Fracture With An Implant

Washington, DC 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?

$977

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

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $676 to $4,786.

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 $5,495 · 10th to 90th $676 to $7,762Professionalmedian $676 · 10th to 90th $646 to $1,380
$1K$2K$5K$10K$20Kfacility $5,495professional $676

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
$676.08
Median
$4,786.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$676.08
Typical High
$977.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$7,079.46
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,318.26
Typical High
$1,479.11
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
$549.54
Median
$933.25
Typical High
$1,737.80

Where Washington, DC sits

The same service costs 10.2 times more in California than in Delaware. 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

$977

CA $6,607DE $646

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.