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Open Repair Of A Complex Forehead Sinus Fracture

Washington, DC rates for HCPCS 21344

Repairs a badly broken frontal sinus, the air-filled space in the forehead bone above the eyes, through open surgery that exposes and rebuilds the bone. It is used when the break is shattered into several pieces or runs through the back wall of the sinus, which lies directly against the covering of the brain, and more than one route of access may be needed. Plates or wires hold the fragments in position while they heal.

Rates data updated July 2026.

How much does Open Repair Of A Complex Forehead Sinus Fracture cost?

$1,995

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $1,445 to $4,467.

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.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,445 to $7,762Professionalmedian $1,445 · 10th to 90th $1,380 to $2,951
$2K$5K$10K$20Kfacility $5,495professional $1,445

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
$1,445.44
Median
$4,786.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$2,089.30
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$4,365.16
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,818.38
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,041.74
Typical High
$3,801.89

Where Washington, DC sits

The same service costs 4.6 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.

Washington, DC· 28th of 51

$1,995

CA $6,457DE $1,413

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.