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Midface Reconstruction With Bone Cuts And Grafts

Iowa rates for HCPCS 21188

Rebuilds the middle of the face, meaning the cheeks, upper jaw, and the bones around the nose and eye sockets, by cutting the bone into segments, moving them into a better position, and adding grafts of the patient's own bone. It is used when these bones are underdeveloped, sunken, or distorted after an injury, a birth difference, or earlier surgery. The bone cuts are planned around the individual face rather than following one of the standard patterns.

Rates data updated July 2026.

How much does Midface Reconstruction With Bone Cuts And Grafts cost?

$2,570

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $5,248 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$2,512$1,622 to $3,715
FacilityA hospital or hospital-owned outpatient department$5,248$4,169 to $7,413

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,512 to $11,482Professionalmedian $2,512 · 10th to 90th $1,479 to $5,623
$1K$2K$5K$10Kfacility $5,248professional $2,512

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
$2,511.89
Median
$5,248.07
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,715.35
Typical High
$4,570.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,715.35
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,162.28
Typical High
$15,488.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,235.94
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$4,570.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,951.21
Typical High
$3,548.13

Where Iowa sits

The same service costs 4.4 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.

Iowa· 13th of 51

$2,570

CA $6,918DE $1,585

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.