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Open Repair Of A Severe Midface Fracture

New York rates for HCPCS 21347

This surgery realigns and stabilizes a severe fracture of the midface bones around the nose and upper jaw, using more than one surgical access point to fully reach and repair the break. Wiring or other fixation is used to hold the bones in their corrected position while they heal. It is used for more complex midface fractures that cannot be adequately reached and repaired through a single incision.

Rates data updated July 2026.

How much does Open Repair Of A Severe Midface Fracture cost?

$7,228

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

Insurers have agreed to pay about $7,228 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $6,026 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$1,202$1,000 to $1,738
Facility feeThe hospital or surgery center$6,026$3,311 to $9,550

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,549 to $12,589Professionalmedian $1,202 · 10th to 90th $871 to $3,020
$100.0$1.0K$10.0Kfacility $6,026professional $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
$1,288.25
Median
$5,011.87
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$2,754.23
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
$812.83
Median
$1,023.29
Typical High
$2,754.23
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$37,153.52
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
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$4,570.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$2,344.23
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,187.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,348.96
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$4,466.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$4,570.88
Univera
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$2,818.38

Where New York sits

The same service costs 8.5 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew York $7,228 · 20th of 50
IN $16,560MD $1,948

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.