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Open Repair Of Complex Midface Fracture

Missouri 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?

$5,222

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

Insurers have agreed to pay about $5,222 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $4,074 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$1,148$1,000 to $1,622
Facility feeThe hospital or surgery center$4,074$2,512 to $5,623

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,479 to $8,318Professionalmedian $1,148 · 10th to 90th $891 to $3,467
$1K$2K$5K$10Kfacility $4,074professional $1,148

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
$1,548.82
Median
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$5,248.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,235.94
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,862.09

Where Missouri 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

Missouri· 28th of 50

$5,222

$1,148 physician + $4,074 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.