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Open Repair Of An Eye Socket Fracture With An Implant

North Carolina 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?

$1,881

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,881 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $1,122 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$631 to $1,259
Facility feeThe hospital or surgery center$1,122$759 to $6,457

How much rates vary

Facilitymedian $1,122 · 10th to 90th $631 to $11,482Professionalmedian $759 · 10th to 90th $490 to $1,905
$500$1K$2K$5K$10Kfacility $1,122professional $759

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
$630.96
Median
$1,905.46
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,412.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,318.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$16,982.44
Typical High
$16,982.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93

Where North Carolina 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

North Carolina· 47th of 50

$1,881

$759 physician + $1,122 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.