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Open Repair Of Complex Midface Fracture

Tennessee 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?

$4,222

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

Insurers have agreed to pay about $4,222 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $3,020 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$955 to $1,585
Facility feeThe hospital or surgery center$3,020$2,399 to $5,012

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,148 to $7,943Professionalmedian $1,202 · 10th to 90th $891 to $2,138
$100$200$500$1K$2K$5K$10Kfacility $3,020professional $1,202

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
$1,096.48
Median
$2,570.40
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,949.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$16,982.44
Typical High
$16,982.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$8,511.38
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,995.26

Where Tennessee 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

Tennessee· 38th of 50

$4,222

$1,202 physician + $3,020 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.