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Sagittal Split Surgery To Reposition The Lower Jaw

Tennessee 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?

$1,738

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $4,074 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 5 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$1,622$1,288 to $2,138
FacilityA hospital or hospital-owned outpatient department$4,074$2,570 to $6,607

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,318 to $9,120Professionalmedian $1,622 · 10th to 90th $1,230 to $3,020
$100$500$2K$10Kfacility $4,074professional $1,622

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
$1,230.27
Median
$2,951.21
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$2,884.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$22,908.68
Typical High
$22,908.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,818.38

Where Tennessee 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.

Tennessee· 33rd of 51

$1,738

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.