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Upper Jaw Repositioning Surgery, Two-Segment

Pennsylvania 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?

$1,549

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $5,370 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 10 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$1,413$1,288 to $1,660
FacilityA hospital or hospital-owned outpatient department$5,370$3,802 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,413 to $8,710Professionalmedian $1,413 · 10th to 90th $1,202 to $2,239
$1.0$10.0$100.0$1.0K$10.0Kfacility $5,370professional $1,413

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
$1,412.54
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$2,187.76
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,995.26
Typical High
$2,511.89
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$2,630.27
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$12,882.50
Typical High
$52,480.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,011.87
Typical High
$9,549.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$4,168.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$1,445.44
Typical High
$1,513.56
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,760.83
Typical High
$12,302.69
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
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
$1,122.02
Median
$1,548.82
Typical High
$2,754.23

Where Pennsylvania sits

The same service costs 5.1 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $1,549 · 41st of 51
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.