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Open Repair Of Complex Midface Fracture

Iowa 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?

$6,694

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

Insurers have agreed to pay about $6,694 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $5,248 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,047 to $2,138
Facility feeThe hospital or surgery center$5,248$4,169 to $7,079

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,622 to $12,882Professionalmedian $1,445 · 10th to 90th $955 to $3,715
$1K$2K$5K$10Kfacility $5,248professional $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
$1,621.81
Median
$5,248.07
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,344.23
Typical High
$2,951.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,348.96
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$14,454.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,778.28
Typical High
$7,585.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,137.96
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,585.78
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,905.46
Typical High
$2,238.72

Where Iowa 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

Iowa· 17th of 50

$6,694

$1,445 physician + $5,248 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.