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Complex Cheekbone Fracture Repair With Plates

Montana rates for HCPCS 21365

Repairs a badly broken cheekbone through more than one incision, so the bone can be reached from several directions. The pieces are put back into position and held with small plates and screws. This more involved repair is used when the bone is broken into several fragments or the break runs into the openings where nerves pass through the skull.

Rates data updated October 2026.

How much does Complex Cheekbone Fracture Repair With Plates cost?

$3,358

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $3,358 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $1,660 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,698$1,122 to $1,738
Facility feeThe hospital or surgery center$1,660$1,660 to $1,995

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,585 to $4,898Professionalmedian $1,698 · 10th to 90th $85 to $1,862
$100$200$500$1K$2K$5K$10Kfacility $1,660professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,737.80
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$4,897.79
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,905.46
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$4,897.79
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,548.82
Typical High
$1,737.80
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$2,041.74

Where Montana sits

The same service costs 6.7 times more in Vermont than in Kentucky. 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

Montana· 49th of 51

$3,358

$1,698 physician + $1,660 facility

VT $18,681KY $2,795

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.