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Open Repair Of Complex Midface Fracture

Michigan 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?

$5,945

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

Insurers have agreed to pay about $5,945 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $4,898 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,047$933 to $1,349
Facility feeThe hospital or surgery center$4,898$4,677 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,288 to $7,244Professionalmedian $1,047 · 10th to 90th $794 to $1,413
$200$500$1K$2K$5K$10Kfacility $4,898professional $1,047

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
$1,288.25
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$3,235.94
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,754.23
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,754.40
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,479.11

Where Michigan 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

Michigan· 23rd of 50

$5,945

$1,047 physician + $4,898 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.