Covers an operation on the orbit, the bony socket that holds the eyeball together with its muscles, fat, and nerves, when the operation has no standard named entry of its own. It is used for uncommon repairs, decompressions, and reconstructions in that space. The surgeon submits a written description of what was actually done.
Rates data updated October 2026.
How much does Unlisted Eye Socket Procedure cost?
$724
Typical facility fee. In Massachusetts, October 2026.
Insurers have agreed to pay about $724 for this service. Most negotiated rates run $355 to $2,818.
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 8 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $724 · 10th to 90th $135 to $3,631
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,090.30
Typical High
$5,128.61
Facility
None
$2,691.53
$3,090.30
$5,128.61
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$524.81
Typical High
$1,862.09
Facility
None
$131.83
$524.81
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$446.68
Typical High
$954.99
Facility
None
$50.12
$446.68
$954.99
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,311.31
Typical High
$7,079.46
Facility
None
$83.18
$3,311.31
$7,079.46
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$537.03
Typical High
$2,818.38
Facility
None
$87.10
$537.03
$2,818.38
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$524.81
Typical High
$1,862.09
Facility
None
$131.83
$524.81
$1,862.09
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$537.03
Typical High
$2,754.23
Facility
None
$123.03
$537.03
$2,754.23
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$5,754.40
Facility
None
$2,511.89
$3,467.37
$5,754.40
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Well Sense
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
Professional
78 · Unplanned return to OR
$1,995.26
$1,995.26
$2,398.83
Where Massachusetts sits
The same service costs 34.7 times more in Colorado than in Montana. 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.