go back

Open Repair Of Complex Midface Fracture

Virginia 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?

$4,438

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

Insurers have agreed to pay about $4,438 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $3,236 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$1,023 to $1,585
Facility feeThe hospital or surgery center$3,236$1,175 to $7,079

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,000 to $9,772Professionalmedian $1,202 · 10th to 90th $891 to $2,754
$1K$2K$5K$10Kfacility $3,236professional $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
$5,370.32
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,511.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$2,089.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,348.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,905.46
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,862.09

Where Virginia 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

Virginia· 36th of 50

$4,438

$1,202 physician + $3,236 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.