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Complex Cheekbone Fracture Repair With Plates

North Carolina 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 July 2026.

How much does Complex Cheekbone Fracture Repair With Plates cost?

$2,630

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $1,288 to $7,586.

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.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,072 to $11,482Professionalmedian $1,738 · 10th to 90th $1,738 to $2,512
$1$10$100$1K$10Kfacility $2,692professional $1,738

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.58
Median
$5,754.40
Typical High
$11,220.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,698.24
Typical High
$5,248.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,511.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$16,982.44
Typical High
$16,982.44

Where North Carolina sits

The same service costs 21.4 times more in Maine than in Vermont. 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.

North Carolina· 39th of 51

$2,630

ME $22,909VT $1,072

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.