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Midface Reconstruction of the Upper Jaw and Nose

Massachusetts 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?

$2,630

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $3,631 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 7 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$2,291$1,862 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,631$2,512 to $5,012

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,905 to $7,762Professionalmedian $2,291 · 10th to 90th $1,660 to $4,786
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $2,291

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
$1,949.84
Median
$3,388.44
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,089.30
Typical High
$4,786.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,897.79
Typical High
$16,595.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$19,054.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$5,011.87
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$4,265.80
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$3,019.95
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,884.03
Typical High
$4,168.69
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,897.79
Typical High
$16,595.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,951.21
Typical High
$4,897.79

Where Massachusetts sits

The same service costs 4.6 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 22nd of 51

$2,630

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.