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Forehead Reduction With Implant Or Bone Graft

West Virginia 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?

$955

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $891 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 4 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$871 to $1,023
FacilityA hospital or hospital-owned outpatient department$891$891 to $1,445

How much rates vary

Facilitymedian $891 · 10th to 90th $891 to $1,738Professionalmedian $955 · 10th to 90th $813 to $1,318
$50.0$200.0$1.0K$5.0Kfacility $891professional $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
$891.25
Median
$891.25
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,174.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
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
$870.96
Median
$1,348.96
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,548.13
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,479.11

Where West Virginia 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.

West Virginia $955 · 48th 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.