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Sagittal Split Surgery To Reposition The Lower Jaw

New Hampshire rates for HCPCS 21195

This surgery uses a specific splitting technique through the back portion of the lower jawbone to separate it into two segments along a natural plane, allowing the jaw to be moved forward or backward to correct a misaligned bite. This version repositions the jaw without using rigid metal plates and screws to hold it in the new position. It is typically part of planned surgery to correct significant jaw or bite problems.

Rates data updated July 2026.

How much does Sagittal Split Surgery To Reposition The Lower Jaw cost?

$1,995

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $5,623 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 6 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$1,995$1,479 to $2,570
FacilityA hospital or hospital-owned outpatient department$5,623$4,786 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,399 to $15,849Professionalmedian $1,995 · 10th to 90th $1,349 to $3,162
$100$200$500$1K$2K$5K$10Kfacility $5,623professional $1,995

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
$100.00
Median
$4,786.30
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,137.96
Typical High
$3,981.07
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$4,168.69
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,621.81

Where New Hampshire sits

The same service costs 5.2 times more in California than in Kentucky. 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.

New Hampshire· 24th of 51

$1,995

CA $6,918KY $1,318

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.