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Complex Open Repair of an Upper Jaw Fracture

Iowa 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?

$6,271

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

Insurers have agreed to pay about $6,271 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $5,012 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$1,259$813 to $1,778
Facility feeThe hospital or surgery center$5,012$2,570 to $7,244

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,259 to $10,965Professionalmedian $1,259 · 10th to 90th $724 to $3,715
$1K$2K$5K$10Kfacility $5,012professional $1,259

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
$5,248.07
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$2,290.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,041.74
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,513.56
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,819.70
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,584.89
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$2,187.76
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$1,778.28

Where Iowa 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

Iowa· 18th of 50

$6,271

$1,259 physician + $5,012 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.