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Midface Reconstruction of the Upper Jaw and Nose

Indiana rates for HCPCS 21151

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.

How much does Midface Reconstruction of the Upper Jaw and Nose cost?

$2,399

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $15,136 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 5 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$1,905$1,698 to $2,399
FacilityA hospital or hospital-owned outpatient department$15,136$9,550 to $22,387

How much rates vary

Facilitymedian $15,136 · 10th to 90th $3,020 to $25,704Professionalmedian $1,905 · 10th to 90th $1,622 to $3,548
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $15,136professional $1,905

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
$1,380.38
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$17,378.01
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,715.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$3,548.13

Where Indiana sits

The same service costs 4.6 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Indiana $2,399 · 26th of 51
CA $8,318DE $1,820

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.