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Midface Reconstruction of the Upper Jaw and Nose

New Jersey 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?

$2,344

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $7,943 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$2,089$1,738 to $3,311
FacilityA hospital or hospital-owned outpatient department$7,943$6,026 to $10,233

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,365 to $12,303Professionalmedian $2,089 · 10th to 90th $1,622 to $9,120
$2K$5K$10K$20Kfacility $7,943professional $2,089

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
$4,365.16
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$5,888.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$2,630.27
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$22,387.21
Typical High
$30,902.95
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,187.76
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$4,570.88

Where New Jersey 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.

New Jersey· 32nd of 51

$2,344

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.