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Open Eye Socket Fracture Repair With Bone Graft

South Dakota rates for HCPCS 21408

Repairs a broken eye socket, other than a break of the thin socket floor, through an incision that exposes the fracture so the bone can be moved back into its correct position. Missing or crushed bone is replaced with a graft of the patient's own bone, and plates or screws hold everything while it heals. It is done when the break has left the socket the wrong shape, altering the position of the eye or trapping tissue.

Rates data updated July 2026.

How much does Open Eye Socket Fracture Repair With Bone Graft cost?

$1,585

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,514 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 7 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$1,622$912 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,514$1,380 to $2,344

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,072 to $4,365Professionalmedian $1,622 · 10th to 90th $759 to $2,570
$1K$2K$5K$10Kfacility $1,514professional $1,622

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,089.30
Typical High
$2,570.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,621.81
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,041.74
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,995.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,548.82
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$2,089.30

Where South Dakota sits

The same service costs 7.6 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.

South Dakota· 9th of 51

$1,585

CA $6,607KY $871

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.