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Jaw Bone Cutting To Reposition The Back Of The Jaw

Massachusetts rates for HCPCS 21193

This surgery reshapes the back portion of the lower jaw, near the jaw joint, by cutting through the bone and moving it into a new position to correct a misaligned bite or jaw deformity. The bone is repositioned and secured without adding donor or synthetic bone to fill any gap. It is typically performed as part of planned jaw realignment surgery.

Rates data updated July 2026.

Facilitymedian $3,467 · 10th–90th $1,230$7,7620%10%10th90th$3,467Professionalmedian $1,622 · 10th–90th $1,122$3,4670%10%10th90th$1,622$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,630.78
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$3,311.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,981.07
Typical High
$15,135.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$15,488.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,511.89
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$3,388.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$2,137.96
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,089.30
Typical High
$3,311.31
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,981.07
Typical High
$15,135.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,089.30
Typical High
$3,630.78