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Reduction Of The Chewing Muscle And Jaw Bone

North Carolina rates for HCPCS 21295

Reduces the bulk of the large chewing muscle at the angle of the jaw along with some of the bone beneath it, to narrow a squared or overly wide lower face. It is used when that muscle has enlarged, often from years of clenching or grinding, leaving a heavy jawline, discomfort, or an unbalanced facial shape. Reducing both muscle and bone gives a lasting change in contour.

Rates data updated July 2026.

How much does Reduction Of The Chewing Muscle And Jaw Bone cost?

$245

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $617 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$240$191 to $363
FacilityA hospital or hospital-owned outpatient department$617$240 to $3,715

How much rates vary

Facilitymedian $617 · 10th to 90th $191 to $5,623Professionalmedian $240 · 10th to 90th $155 to $603
$200$500$1K$2K$5K$10Kfacility $617professional $240

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
$190.55
Median
$1,380.38
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,467.37
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$389.05
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64

Where North Carolina sits

The same service costs 28.8 times more in California than in Delaware. 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.

North Carolina· 36th of 51

$245

CA $5,623DE $195

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.