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Jaw Joint Replacement With An Artificial Joint

Washington rates for HCPCS 21243

This surgery reconstructs the jaw joint, known as the temporomandibular joint or TMJ, by replacing it with an artificial, prosthetic joint device, rather than using the patient's own tissue or donor tissue. It is used for severe jaw joint damage or disease, such as advanced arthritis or a previous failed jaw joint surgery, when other reconstruction options are not suitable. The artificial joint is designed to restore jaw movement and function.

Rates data updated July 2026.

Facilitymedian $4,074 · 10th–90th $1,905$52,4810%10%10th90th$4,074Professionalmedian $2,570 · 10th–90th $1,549$4,6770%10%20%10th90th$2,570$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$2,041.74
Median
$6,456.54
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,290.87
Typical High
$4,466.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$57,543.99
Typical High
$102,329.30
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,235.94
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$33,113.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,754.23
Typical High
$4,897.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$45,708.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,235.94
Typical High
$33,884.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$660.69
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,162.28
Typical High
$3,311.31
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,290.87
Typical High
$8,912.51
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$4,365.16
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$54,954.09
Typical High
$100,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,235.94
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$79,432.82
Typical High
$154,881.66
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,511.89
Typical High
$4,570.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$3,019.95