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Upper Jaw Repositioning Surgery, Single Piece

North Dakota rates for HCPCS 21141

This is a surgery to reposition the upper jaw as a single piece to correct facial structure or bite problems, such as those causing an elongated or recessed midface appearance. It does not require adding bone graft material to support the new position.

Rates data updated October 2026.

How much does Upper Jaw Repositioning Surgery, Single Piece cost?

$2,512

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $2,818 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,512$2,138 to $2,884
FacilityA hospital or hospital-owned outpatient department$2,818$1,349 to $4,266

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,349 to $4,677Professionalmedian $2,512 · 10th to 90th $1,380 to $3,236
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $2,512

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
22 · Increased work
Typical Low
$2,570.40
Median
$3,311.31
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$213.80
Median
$275.42
Typical High
$323.59
BCBS
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,754.23
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$2,884.03
Typical High
$4,570.88
Medica
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,511.89
Typical High
$3,548.13
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,454.71
Typical High
$2,691.53

Where North Dakota sits

The same service costs 15.1 times more in Alaska than in Texas. 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.

North Dakota· 9th of 51

$2,512

AK $5,370TX $355

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.