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Complex Open Repair of an Upper Jaw Fracture

Colorado 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?

$8,076

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

Insurers have agreed to pay about $8,076 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $7,244 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$794 to $1,175
Facility feeThe hospital or surgery center$7,244$3,311 to $12,023

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,047 to $18,197Professionalmedian $832 · 10th to 90th $741 to $2,188
$1K$2K$5K$10K$20Kfacility $7,244professional $832

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
$954.99
Median
$5,370.32
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,819.70
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$3,548.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,479.11
Typical High
$1,548.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,819.70

Where Colorado 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

Colorado· 11th of 50

$8,076

$832 physician + $7,244 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.