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Midface Reconstruction of the Upper Jaw and Nose

South 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?

$2,089

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $9,550 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$2,089$1,778 to $2,512
FacilityA hospital or hospital-owned outpatient department$9,550$2,630 to $16,596

How much rates vary

Facilitymedian $9,550 · 10th to 90th $2,089 to $21,878Professionalmedian $2,089 · 10th to 90th $1,622 to $4,365
$50$200$1K$5K$20Kfacility $9,550professional $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
$2,089.30
Median
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$4,677.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$8,709.64
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,511.89
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,168.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,511.89
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$3,311.31

Where South Carolina 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.

South Carolina· 44th of 51

$2,089

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.