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Open Repair Of Complex Midface Fracture

Florida 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?

$8,413

Typical total for the visit. In Florida, July 2026.

Insurers have agreed to pay about $8,413 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $7,413 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,000$851 to $1,175
Facility feeThe hospital or surgery center$7,413$3,311 to $11,482

How much rates vary

Facilitymedian $7,413 · 10th to 90th $1,230 to $14,791Professionalmedian $1,000 · 10th to 90th $741 to $1,622
$50$200$1K$5K$20Kfacility $7,413professional $1,000

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
$1,148.15
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,621.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$6,165.95
Typical High
$13,803.84
AvMed
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,905.46
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,995.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,047.13

Where Florida sits

The same service costs 8.0 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Florida· 10th of 50

$8,413

$1,000 physician + $7,413 facility

IN $16,113WV $2,024

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.