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Complex Open Repair of an Upper Jaw Fracture

Alaska rates for HCPCS 21423

A surgery performed through an open incision to repair a fracture across the upper jaw, at the level where it separates the tooth-bearing bone from the rest of the face, in a case that is more complicated than usual, such as a fracture with many bone fragments or one that involves nerve pathways through the bone. The surgeon directly accesses and realigns the broken bone. It is used for a more complex version of this specific level of midface fracture rather than a straightforward break.

Rates data updated July 2026.

How much does Complex Open Repair of an Upper Jaw Fracture cost?

$3,760

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

Insurers have agreed to pay about $3,760 for this procedure. That total is two separate charges: $2,138 to the doctor who performs it, and $1,622 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$2,138$759 to $3,311
Facility feeThe hospital or surgery center$1,622$1,023 to $3,890

How much rates vary

Facilitymedian $1,622 · 10th to 90th $871 to $9,772Professionalmedian $2,138 · 10th to 90th $741 to $4,169
$1K$2K$5K$10Kfacility $1,622professional $2,138

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
$2,344.23
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,511.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$4,265.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$4,168.69
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,570.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$4,265.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,047.13
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$2,041.74
Typical High
$4,466.84

Where Alaska sits

The same service costs 9.9 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

Alaska· 37th of 50

$3,760

$2,138 physician + $1,622 facility

IN $15,967WV $1,608

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.