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Open Repair Of Complex Midface Fracture

North Carolina 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?

$3,111

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,111 for this procedure. That total is two separate charges: $1,413 to the doctor who performs it, and $1,698 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$1,413$1,000 to $1,905
Facility feeThe hospital or surgery center$1,698$1,202 to $6,607

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,000 to $10,471Professionalmedian $1,413 · 10th to 90th $933 to $2,818
$1K$2K$5K$10Kfacility $1,698professional $1,413

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
$1,000.00
Median
$3,388.44
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$2,818.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,456.54
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,949.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$16,982.44
Typical High
$16,982.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$8,511.38

Where North Carolina 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

North Carolina· 45th of 50

$3,111

$1,413 physician + $1,698 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.