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Midface Advancement Plus Upper Jaw Repositioning

Montana rates for HCPCS 21155

Reconstructive surgery in which the bones of the midface are cut free and moved forward with bone grafts filling the gaps, together with a second cut across the upper jaw so the tooth-bearing jaw can be repositioned independently of the rest of the face. The forehead is not moved.

Rates data updated October 2026.

How much does Midface Advancement Plus Upper Jaw Repositioning cost?

$3,388

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $3,236 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,388$2,239 to $3,467
FacilityA hospital or hospital-owned outpatient department$3,236$3,162 to $3,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $3,090 to $6,166Professionalmedian $3,388 · 10th to 90th $85 to $3,631
$100$200$500$1K$2K$5K$10Kfacility $3,236professional $3,388

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$6,165.95
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,162.28
Typical High
$3,630.78
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$3,162.28
Typical High
$3,388.44
Providence
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$6,165.95
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,090.30
Typical High
$3,467.37
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$4,073.80

Where Montana sits

The same service costs 21.9 times more in Alaska than in Texas. 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.

Montana· 12th of 51

$3,388

AK $8,710TX $398

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.