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Upper Jaw Repositioning Surgery, Two-Segment

Nebraska rates for HCPCS 21142

This surgery cuts and repositions the upper jaw bone to correct a bite or facial alignment problem, dividing the jaw into two separate pieces so each can be moved into the right position independently. It does not involve adding bone graft material. It's used when the correction needed is more complex than moving the jaw as a single piece, but not as complex as dividing it into three or more segments.

Rates data updated July 2026.

How much does Upper Jaw Repositioning Surgery, Two-Segment cost?

$2,512

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $9,120 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 6 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$2,089$1,585 to $3,020
FacilityA hospital or hospital-owned outpatient department$9,120$7,079 to $13,490

How much rates vary

Facilitymedian $9,120 · 10th to 90th $2,570 to $38,905Professionalmedian $2,089 · 10th to 90th $1,288 to $3,981
$2K$5K$10K$20Kfacility $9,120professional $2,089

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
$7,079.46
Median
$10,964.78
Typical High
$38,904.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$7,585.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$11,748.98
Typical High
$22,908.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,041.74
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,290.87
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,570.40
Typical High
$13,182.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$4,265.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$6,918.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$3,715.35

Where Nebraska sits

The same service costs 5.1 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.

Nebraska· 8th of 51

$2,512

CA $6,918KY $1,349

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.