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Mid-Face Reconstruction

Virginia 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?

$2,089

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $3,467 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 8 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$1,862$1,622 to $2,570
FacilityA hospital or hospital-owned outpatient department$3,467$1,950 to $7,413

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,622 to $10,965Professionalmedian $1,862 · 10th to 90th $1,479 to $3,981
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,467professional $1,862

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
$1,659.59
Median
$5,370.32
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,290.87
Typical High
$3,981.07
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,995.26
Typical High
$3,388.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,089.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,511.89
Typical High
$3,715.35
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$3,235.94
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,089.30
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,089.30
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,905.46
Typical High
$3,162.28

Where Virginia 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.

Virginia $2,089 · 31st 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.