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Midface Reconstruction of the Upper Jaw and Nose

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $3,631 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$2,138$1,862 to $2,884
FacilityA hospital or hospital-owned outpatient department$3,631$2,291 to $7,413

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,862 to $10,471Professionalmedian $2,138 · 10th to 90th $1,738 to $4,467
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,631professional $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
$2,041.74
Median
$5,495.41
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,466.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,398.83
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$4,265.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$3,715.35
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$3,630.78

Where Virginia 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.

Virginia $2,399 · 27th 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.