go back

Jaw Bone Cut With Tongue Muscle Advancement

Virginia rates for HCPCS 21199

This surgically cuts through a segment of the lower jawbone and moves forward the point where a muscle at the base of the tongue attaches, advancing that muscle attachment to help keep the airway open. It's typically performed to treat obstructive sleep apnea by preventing the base of the tongue from falling backward and blocking the throat during sleep. The jaw segment is then allowed to heal in its new position.

Rates data updated July 2026.

How much does Jaw Bone Cut With Tongue Muscle Advancement cost?

$1,349

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $3,236 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 8 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$1,202$1,047 to $1,660
FacilityA hospital or hospital-owned outpatient department$3,236$1,288 to $8,511

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,047 to $10,965Professionalmedian $1,202 · 10th to 90th $933 to $2,692
$1K$2K$5K$10K$20Kfacility $3,236professional $1,202

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
$1,202.26
Median
$5,623.41
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,511.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$2,344.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$2,041.74

Where Virginia sits

The same service costs 6.8 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.

Virginia· 32nd of 51

$1,349

CA $6,918KY $1,023

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.