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Complex Open Repair of an Upper Jaw Fracture

Connecticut 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?

$9,040

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

Insurers have agreed to pay about $9,040 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $7,943 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,096$794 to $1,820
Facility feeThe hospital or surgery center$7,943$5,888 to $10,471

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,677 to $13,804Professionalmedian $1,096 · 10th to 90th $724 to $2,630
$1K$2K$5K$10Kfacility $7,943professional $1,096

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
$4,570.88
Median
$7,413.10
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,621.81
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,089.30
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,148.15
Typical High
$2,089.30

Where Connecticut 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

Connecticut· 9th of 50

$9,040

$1,096 physician + $7,943 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.