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Midface Reconstruction of the Upper Jaw and Nose

Washington 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 $1,820$18,6210%10%10th90th$3,981Professionalmedian $2,630 · 10th–90th $1,549$4,5710%10%20%10th90th$2,630$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
$2,089.30
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,290.87
Typical High
$4,570.88
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$32,359.37
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,162.28
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,691.53
Typical High
$4,897.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,311.31
Typical High
$10,000.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,090.30
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$104.71
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$3,388.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,238.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,235.94
Typical High
$4,265.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$17,378.01
Typical High
$31,622.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,235.94
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$17,782.79
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$4,570.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,621.81
Typical High
$2,951.21