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Complex Open Repair of an Upper Jaw Fracture

Montana 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?

$2,524

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

Insurers have agreed to pay about $2,524 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $1,349 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$1,175$871 to $1,380
Facility feeThe hospital or surgery center$1,349$1,349 to $1,413

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,047 to $1,585Professionalmedian $1,175 · 10th to 90th $741 to $1,660
$100$1K$10K$100Kfacility $1,349professional $1,175

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
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
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
$870.96
Median
$1,071.52
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,479.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$1,548.82

Where Montana 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

Montana· 46th of 50

$2,524

$1,175 physician + $1,349 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.