go back

Midface Reconstruction of the Upper Jaw and Nose

West 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?

$1,862

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $1,778 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 4 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$1,862$1,778 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,778$1,778 to $2,291

How much rates vary

Facilitymedian $1,778 · 10th to 90th $1,413 to $2,754Professionalmedian $1,862 · 10th to 90th $1,622 to $2,630
$50.0$200.0$1.0K$5.0Kfacility $1,778professional $1,862

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
$1,412.54
Median
$1,778.28
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$2,041.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,290.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
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
$1,737.80
Median
$2,691.53
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,137.96
Typical High
$3,162.28

Where West 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.

West Virginia $1,862 · 50th 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.