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Complex Open Repair of an Upper Jaw Fracture

Michigan 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?

$5,749

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

Insurers have agreed to pay about $5,749 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $4,898 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$851$724 to $1,047
Facility feeThe hospital or surgery center$4,898$4,677 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,023 to $8,913Professionalmedian $851 · 10th to 90th $692 to $1,175
$200$500$1K$2K$5K$10Kfacility $4,898professional $851

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
$1,023.29
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$1,023.29
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$2,691.53
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,454.71
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$7,079.46
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,288.25

Where Michigan 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

Michigan· 23rd of 50

$5,749

$851 physician + $4,898 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.