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Open Repair Of Complex Midface Fracture

New York 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?

$6,720

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $6,720 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $5,623 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,096$933 to $1,622
Facility feeThe hospital or surgery center$5,623$3,090 to $9,120

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,318 to $12,023Professionalmedian $1,096 · 10th to 90th $794 to $2,884
$500$1K$2K$5K$10Kfacility $5,623professional $1,096

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
$1,202.26
Median
$4,570.88
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$2,691.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$2,344.23
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,513.56
Typical High
$4,365.16
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$3,548.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$2,290.87
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$2,137.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,288.25
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$4,168.69
Univera
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$4,265.80
Univera
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,818.38

Where New York 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

New York· 16th of 50

$6,720

$1,096 physician + $5,623 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.