go back

Complex Open Repair of an Upper Jaw Fracture

Florida 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?

$9,725

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

Insurers have agreed to pay about $9,725 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $8,913 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$813$708 to $955
Facility feeThe hospital or surgery center$8,913$3,388 to $12,023

How much rates vary

Facilitymedian $8,913 · 10th to 90th $1,445 to $21,380Professionalmedian $813 · 10th to 90th $646 to $1,288
$100$1K$10K$100K$1M$10Mfacility $8,913professional $813

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
$1,148.15
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,288.25
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$6,165.95
Typical High
$13,803.84
AvMed
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,659.59
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$15,135.61
Typical High
$5,623,413.25
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$10,000.00
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,621.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76

Where Florida 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

Florida· 8th of 50

$9,725

$813 physician + $8,913 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.