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Custom Oral Surgical Splint Fitting

New Jersey rates for HCPCS 21085

Custom fitting and creation of a removable splint worn in the mouth after oral or jaw surgery. It is used to protect the surgical site, hold dressings or grafts in place, or support the surrounding tissue while it heals.

Rates data updated July 2026.

How much does Custom Oral Surgical Splint Fitting cost?

$676

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $6,026 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 5 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$646$537 to $912
FacilityA hospital or hospital-owned outpatient department$6,026$2,455 to $9,333

How much rates vary

Facilitymedian $6,026 · 10th to 90th $708 to $11,749Professionalmedian $646 · 10th to 90th $447 to $1,778
$100.0$500.0$2.0K$10.0Kfacility $6,026professional $646

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
$707.95
Median
$6,760.83
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,905.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,202.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$1,174.90
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,584.89

Where New Jersey sits

The same service costs 2.5 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $676 · 42nd of 51
CA $1,514KY $603

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.