go back

Placing an Eye Socket Implant Later

Pennsylvania rates for HCPCS 65130

Places a rounded implant in the eye socket at a separate, later operation, after the inner contents of the eye were removed during an earlier surgery. The implant restores the volume and shape of the socket so a custom artificial eye can sit over it and move naturally.

Rates data updated July 2026.

How much does Placing an Eye Socket Implant Later cost?

$1,047

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $4,266 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 9 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$851$832 to $1,047
FacilityA hospital or hospital-owned outpatient department$4,266$2,630 to $6,761

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $8,318Professionalmedian $851 · 10th to 90th $676 to $1,380
$1K$2K$5K$10Kfacility $4,266professional $851

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
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,288.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,380.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,288.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,445.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$4,897.79
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$1,023.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,513.56

Where Pennsylvania sits

The same service costs 6.8 times more in California than in Vermont. 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.

Pennsylvania· 40th of 51

$1,047

CA $5,623VT $832

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.