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Complex Open Repair of an Upper Jaw Fracture

Kansas 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?

$5,589

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

Insurers have agreed to pay about $5,589 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $4,467 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$1,122$813 to $1,413
Facility feeThe hospital or surgery center$4,467$2,570 to $7,762

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,072 to $10,471Professionalmedian $1,122 · 10th to 90th $776 to $1,413
$1K$2K$5K$10Kfacility $4,467professional $1,122

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
$1,288.25
Median
$5,495.41
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,174.90
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$4,265.80
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,318.26

Where Kansas 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

Kansas· 26th of 50

$5,589

$1,122 physician + $4,467 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.