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Complex Open Repair of an Upper Jaw Fracture

Missouri 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?

$5,029

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

Insurers have agreed to pay about $5,029 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $4,074 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$813 to $1,230
Facility feeThe hospital or surgery center$4,074$2,512 to $5,623

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,349 to $8,511Professionalmedian $955 · 10th to 90th $724 to $3,467
$1K$2K$5K$10Kfacility $4,074professional $955

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
$831.76
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,174.90
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,715.35
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,479.11

Where Missouri 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

Missouri· 28th of 50

$5,029

$955 physician + $4,074 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.