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Complex Open Repair of an Upper Jaw Fracture

Louisiana 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?

$4,096

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

Insurers have agreed to pay about $4,096 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $3,162 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$933$794 to $1,230
Facility feeThe hospital or surgery center$3,162$1,622 to $5,248

How much rates vary

Facilitymedian $3,162 · 10th to 90th $933 to $7,586Professionalmedian $933 · 10th to 90th $692 to $1,514
$1K$2K$5K$10Kfacility $3,162professional $933

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
$933.25
Median
$2,691.53
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,760.83
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,288.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$6,165.95
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,412.54

Where Louisiana 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

Louisiana· 35th of 50

$4,096

$933 physician + $3,162 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.