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Upper Jaw Repositioning Surgery, Multi-Segment

South Dakota rates for HCPCS 21143

This surgery cuts and repositions the upper jaw bone to correct a significant misalignment of the bite or facial structure, dividing the jaw into three or more separate segments so each piece can be moved independently into the right position. It does not involve adding bone graft material. It's a more complex version of upper jaw repositioning surgery, used when different parts of the jaw need to move in different directions.

Rates data updated October 2026.

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

$2,818

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,818 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,818$2,138 to $3,388
FacilityA hospital or hospital-owned outpatient department$2,818$1,995 to $3,020

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,995 to $4,074Professionalmedian $2,818 · 10th to 90th $1,549 to $3,981
$2K$5K$10Kfacility $2,818professional $2,818

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
$1,445.44
Median
$1,445.44
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$2,818.38
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$3,388.44
Typical High
$13,489.63
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Midlands
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,235.94
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$2,754.23
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$2,884.03
Typical High
$3,981.07
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,754.23
Typical High
$3,235.94

Where South Dakota sits

The same service costs 17.8 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.

South Dakota· 7th of 51

$2,818

AK $5,623TX $316

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.