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Complex Open Repair of an Upper Jaw Fracture

Indiana 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?

$15,967

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

Insurers have agreed to pay about $15,967 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $15,136 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$832$741 to $1,023
Facility feeThe hospital or surgery center$15,136$9,550 to $22,387

How much rates vary

Facilitymedian $15,136 · 10th to 90th $2,512 to $25,704Professionalmedian $832 · 10th to 90th $708 to $1,413
$1K$2K$5K$10K$20Kfacility $15,136professional $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
$1,148.15
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$17,378.01
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,479.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$891.25
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
$741.31
Median
$977.24
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$8,912.51
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,445.44

Where Indiana 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

Indiana· 1st of 50

$15,967

$832 physician + $15,136 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.