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Open Repair Of Complex Midface Fracture

Illinois 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?

$4,554

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

Insurers have agreed to pay about $4,554 for this procedure. That total is two separate charges: $1,318 to the doctor who performs it, and $3,236 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,318$1,023 to $1,738
Facility feeThe hospital or surgery center$3,236$1,622 to $5,623

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,023 to $10,000Professionalmedian $1,318 · 10th to 90th $891 to $2,239
$200$500$1K$2K$5K$10K$20Kfacility $3,236professional $1,318

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
$1,023.29
Median
$2,454.71
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$8,912.51
Typical High
$22,387.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,995.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$3,981.07
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$123.03
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$4,570.88
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,995.26

Where Illinois 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

Illinois· 34th of 50

$4,554

$1,318 physician + $3,236 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.