go back

Open Repair Of Complex Midface Fracture

Washington, DC rates for HCPCS 21346

This surgery repairs a severe fracture that displaces the middle part of the face, involving the nasal bones and the bone structure around the upper jaw, usually from a significant impact injury. A surgeon makes an incision to access the broken bones, repositions them, and secures them in place while they heal. It is used for a more complex fracture pattern than a straightforward nasal fracture.

Rates data updated July 2026.

How much does Open Repair Of Complex Midface Fracture cost?

$1,349

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

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $1,096 to $4,074.

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 $5,129 · 10th to 90th $1,096 to $7,762Professionalmedian $1,096 · 10th to 90th $1,023 to $1,995
$1K$2K$5K$10K$20Kfacility $5,129professional $1,096

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
$1,096.48
Median
$5,128.61
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,348.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,818.38
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,905.46
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$12,022.64
Typical High
$30,902.95
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$2,754.23

Where Washington, DC sits

The same service costs 6.9 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.

Washington, DC· 28th of 51

$1,349

CA $6,607KY $955

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.