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Eye Socket Decompression Without Bone Flap

West Virginia rates for HCPCS 67414

Surgery that reaches into the eye socket through an incision in the eyelid crease or through the lining inside the lid, without lifting a flap of skull bone, and removes part of the bony wall of the socket. Taking out that bone gives the crowded contents of the socket somewhere to expand, easing pressure on the eye and the optic nerve. It is used when swollen tissue behind the eye is pushing the eye forward or threatening sight.

Rates data updated October 2026.

How much does Eye Socket Decompression Without Bone Flap cost?

$3,667

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $3,667 for this procedure. That total is two separate charges: $1,479 to the doctor who performs it, and $2,188 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,479$1,148 to $2,138
Facility feeThe hospital or surgery center$2,188$1,585 to $3,388

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,413 to $9,120Professionalmedian $1,479 · 10th to 90th $1,000 to $2,754
$50$200$1K$5Kfacility $2,188professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,479.11
Typical High
$1,621.81
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$2,187.76
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$2,137.96
Typical High
$6,456.54
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$10,964.78
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,148.15
Typical High
$2,754.23

Where West Virginia sits

The same service costs 4.0 times more in Alaska 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.

Physician feeFacility fee

West Virginia· 42nd of 51

$3,667

$1,479 physician + $2,188 facility

AK $10,675KY $2,688

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.