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Midface Reconstruction of the Upper Jaw and Nose

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,089 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 8 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 $2,754
FacilityA hospital or hospital-owned outpatient department$6,026$3,467 to $9,550

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,239 to $12,589Professionalmedian $2,089 · 10th to 90th $1,622 to $4,898
$100.0$1.0K$10.0Kfacility $6,026professional $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
$2,290.87
Median
$7,762.47
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$8,128.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$3,467.37
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$3,630.78
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,454.71
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,309.57
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$3,388.44

Where Ohio 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.

Ohio $2,399 · 29th 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.