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Mid-Face Reconstruction

North Carolina 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?

$2,291

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,630 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$2,291$1,585 to $3,890
FacilityA hospital or hospital-owned outpatient department$2,630$1,738 to $7,762

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,585 to $10,471Professionalmedian $2,291 · 10th to 90th $1,549 to $4,571
$100.0$500.0$2.0K$10.0Kfacility $2,630professional $2,291

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
$1,584.89
Median
$5,888.44
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$3,801.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,715.35
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,089.30
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$3,467.37
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$21,379.62
Typical High
$21,379.62
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08

Where North Carolina 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.

North Carolina $2,291 · 24th 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.