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Complex Open Repair of an Upper Jaw Fracture

Georgia 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?

$5,810

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

Insurers have agreed to pay about $5,810 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $4,786 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$1,023$832 to $1,413
Facility feeThe hospital or surgery center$4,786$2,455 to $6,761

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,380 to $9,550Professionalmedian $1,023 · 10th to 90th $724 to $1,862
$1K$2K$5K$10K$20Kfacility $4,786professional $1,023

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
$1,258.93
Median
$5,370.32
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,862.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,365.16
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,230.27
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$2,041.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,165.95
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,737.80

Where Georgia 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

Georgia· 22nd of 50

$5,810

$1,023 physician + $4,786 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.