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Open Repair Of Complex Midface Fracture

Massachusetts 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?

$4,570

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

Insurers have agreed to pay about $4,570 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $3,311 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$1,259$1,047 to $2,138
Facility feeThe hospital or surgery center$3,311$2,512 to $4,677

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,023 to $5,754Professionalmedian $1,259 · 10th to 90th $912 to $2,818
$100$200$500$1K$2K$5K$10Kfacility $3,311professional $1,259

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
$1,949.84
Median
$3,388.44
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$2,754.23
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,951.21
Typical High
$12,302.69
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$2,884.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,737.80
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,737.80
Typical High
$2,754.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,951.21
Typical High
$12,302.69
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,621.81
Typical High
$3,019.95

Where Massachusetts 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

Massachusetts· 33rd of 50

$4,570

$1,259 physician + $3,311 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.