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Open Repair Of Complex Midface Fracture

Nevada 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?

$4,539

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

Insurers have agreed to pay about $4,539 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $3,467 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$1,072$955 to $1,318
Facility feeThe hospital or surgery center$3,467$2,951 to $5,012

How much rates vary

Facilitymedian $3,467 · 10th to 90th $977 to $8,128Professionalmedian $1,072 · 10th to 90th $871 to $3,631
$20$100$500$2K$10Kfacility $3,467professional $1,072

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
$977.24
Median
$3,162.28
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$1,778.28
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$933.25
Typical High
$1,548.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$912.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,344.23
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,778.28

Where Nevada 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

Nevada· 35th of 50

$4,539

$1,072 physician + $3,467 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.