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Midface Reconstruction of the Upper Jaw and Nose

Texas 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 $3,981 · 10th–90th $1,288$12,8820%5%10th90th$3,981Professionalmedian $1,820 · 10th–90th $1,445$3,0900%10%20%10th90th$1,820$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
$1,096.48
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,762.47
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$2,884.03
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,380.38
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,137.96
Typical High
$3,548.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,630.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,137.96
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$208.93
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,630.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,187.76
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,025.60
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$2,818.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46