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Midface Reconstruction of the Upper Jaw and Nose

New York 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?

$2,754

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $6,026 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 9 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$2,138$1,778 to $3,090
FacilityA hospital or hospital-owned outpatient department$6,026$3,311 to $9,333

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,188 to $12,023Professionalmedian $2,138 · 10th to 90th $1,549 to $5,370
$100.0$1.0K$10.0Kfacility $6,026professional $2,138

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
$1,995.26
Median
$4,570.88
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$4,786.30
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$8,511.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$6,025.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$4,073.80
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,344.23
Typical High
$3,801.89
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,454.71
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,511.89
Typical High
$8,128.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,187.76
Typical High
$9,549.93
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,238.72
Typical High
$5,495.41

Where New York 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.

New York $2,754 · 18th 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.