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Open Repair Of Complex Midface Fracture

South Dakota 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?

$9,603

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $9,603 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $7,943 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$1,660$1,047 to $2,239
Facility feeThe hospital or surgery center$7,943$2,399 to $7,943

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,479 to $7,943Professionalmedian $1,660 · 10th to 90th $871 to $2,754
$1K$2K$5Kfacility $7,943professional $1,660

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
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,344.23
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,698.24
Typical High
$7,585.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,041.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,621.81
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$2,344.23

Where South Dakota 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

South Dakota· 7th of 50

$9,603

$1,660 physician + $7,943 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.