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Rebuilding The Cheek Arch And Jaw Joint Socket

South Carolina rates for HCPCS 21255

Rebuilds the arch of the cheekbone and the socket of the jaw joint in front of the ear, using grafts of the patient's own bone and cartilage. It is done when the jaw joint has fused solid or the joint surface is missing, leaving the mouth unable to open properly. Creating a new joint surface restores the ability to open the mouth, chew, and speak.

Rates data updated July 2026.

How much does Rebuilding The Cheek Arch And Jaw Joint Socket cost?

$1,549

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $9,550 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$1,549$1,318 to $1,820
FacilityA hospital or hospital-owned outpatient department$9,550$1,950 to $16,596

How much rates vary

Facilitymedian $9,550 · 10th to 90th $1,549 to $21,878Professionalmedian $1,549 · 10th to 90th $1,175 to $3,388
$100.0$1.0K$10.0Kfacility $9,550professional $1,549

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
$1,548.82
Median
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,548.82
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$8,709.64
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$3,162.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,454.71

Where South Carolina sits

The same service costs 5.2 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Carolina $1,549 · 44th of 51
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.