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Midface Reconstruction of the Upper Jaw and Nose

Tennessee rates for HCPCS 21150

Reconstructive surgery that repositions the bones of the middle of the face — the upper jaw and the area around the nose — to correct a deformity or a jaw that does not line up with the rest of the face. The bones are cut in a planned pattern, moved into their corrected position, and held there while they heal.

Rates data updated July 2026.

Facilitymedian $4,074 · 10th–90th $1,288$9,1200%5%10%10th90th$4,074Professionalmedian $1,950 · 10th–90th $1,479$3,7150%10%20%10th90th$1,950$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,630.27
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$3,548.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$7,079.46
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,454.71
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,344.23
Typical High
$3,630.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$21,379.62
Typical High
$21,379.62
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$3,467.37