go back

Forehead Reduction With Implant Or Bone Graft

New York rates for HCPCS 21138

Reshapes a prominent or uneven forehead by shaving and contouring the bone, then adding an implant material or a piece of the patient's own bone to smooth and even out the result. It is used for a heavy brow ridge or a forehead contour that stands out, whether from natural shape, an old injury, or a bone condition. The incision is usually hidden behind the hairline.

Rates data updated July 2026.

How much does Forehead Reduction With Implant Or Bone Graft cost?

$1,445

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $5,623 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$1,023$891 to $1,549
FacilityA hospital or hospital-owned outpatient department$5,623$3,090 to $8,710

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,259 to $12,023Professionalmedian $1,023 · 10th to 90th $794 to $2,630
$100.0$1.0K$10.0Kfacility $5,623professional $1,023

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
$1,122.02
Median
$4,365.16
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$2,238.72
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$4,168.69
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$3,235.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,380.38
Typical High
$2,137.96
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$1,905.46
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,258.93
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$4,168.69
Univera
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$4,168.69
Univera
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$2,691.53

Where New York sits

The same service costs 7.1 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 York $1,445 · 17th of 51
CA $6,310KY $891

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.