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Midface Reconstruction of the Upper Jaw and Nose

North Carolina 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?

$2,291

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $3,162 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 6 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$2,188$1,778 to $3,548
FacilityA hospital or hospital-owned outpatient department$3,162$1,995 to $7,943

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,698 to $10,471Professionalmedian $2,188 · 10th to 90th $1,698 to $5,623
$100.0$500.0$2.0K$10.0Kfacility $3,162professional $2,188

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
$1,659.59
Median
$7,079.46
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$4,365.16
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$4,265.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,454.71
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$3,801.89
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$21,379.62
Typical High
$21,379.62
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61

Where North Carolina 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.

North Carolina $2,291 · 36th 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.