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Mid-Face Reconstruction

Maryland rates for HCPCS 21146

This service surgically repositions the bones of the mid-face - the area around the upper jaw and cheekbones - through a planned, non-emergency operation that realigns the bone structure and secures it in place. It is used for a more extensive repositioning than the most basic version of this same procedure, and is a planned reconstructive procedure rather than treatment for a new injury.

Rates data updated July 2026.

How much does Mid-Face Reconstruction cost?

$1,660

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $1,585 to $1,862.

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.

How much rates vary

Facilitymedian $851 · 10th to 90th $513 to $2,884Professionalmedian $1,660 · 10th to 90th $1,479 to $2,754
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $851professional $1,660

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,862.09
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$3,388.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$2,344.23

Where Maryland sits

The same service costs 4.6 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $1,660 · 48th of 51
CA $7,079KY $1,549

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.