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Upper Jaw Repositioning Surgery, Two-Segment

Wyoming 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 October 2026.

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

$3,090

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $6,310 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$2,630 to $3,981
FacilityA hospital or hospital-owned outpatient department$6,310$6,310 to $6,457

How much rates vary

Facilitymedian $6,310 · 10th to 90th $5,129 to $9,550Professionalmedian $3,090 · 10th to 90th $1,995 to $4,677
$2K$5K$10Kfacility $6,310professional $3,090

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
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$2,818.38
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$3,981.07
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$9,332.54
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,137.96
Typical High
$3,388.44
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$5,128.61
Typical High
$17,782.79
United
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$2,630.27
Typical High
$4,677.35

Where Wyoming sits

The same service costs 17.0 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.

Wyoming· 3rd of 51

$3,090

AK $5,495TX $324

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.