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Forehead Reduction With Implant Or Bone Graft

Pennsylvania 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?

$1,023

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $4,786 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$955$851 to $1,148
FacilityA hospital or hospital-owned outpatient department$4,786$2,951 to $6,761

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,023 to $8,318Professionalmedian $955 · 10th to 90th $813 to $1,445
$1K$2K$5K$10Kfacility $4,786professional $955

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
$954.99
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$1,380.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,819.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,698.24
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,778.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,981.07
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$1,023.29
Typical High
$1,071.52
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$891.25
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,819.70

Where Pennsylvania sits

The same service costs 7.1 times more in California 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.

Pennsylvania· 45th of 51

$1,023

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.