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Midface Reconstruction of the Upper Jaw and Nose

South Dakota 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?

$3,467

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $3,020 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 7 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$3,467$1,820 to $4,169
FacilityA hospital or hospital-owned outpatient department$3,020$2,630 to $4,365

How much rates vary

Facilitymedian $3,020 · 10th to 90th $2,188 to $4,677Professionalmedian $3,467 · 10th to 90th $1,514 to $5,129
$2.0K$5.0K$10.0Kfacility $3,020professional $3,467

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,630.78
Typical High
$18,197.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,168.69
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$4,466.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,951.21
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,235.94
Typical High
$5,011.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,388.44
Typical High
$3,981.07

Where South Dakota 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.

South Dakota $3,467 · 6th 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.