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Complex Open Repair of an Upper Jaw Fracture

North Carolina 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?

$2,615

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,615 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $1,660 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$776 to $1,549
Facility feeThe hospital or surgery center$1,660$1,000 to $7,943

How much rates vary

Facilitymedian $1,660 · 10th to 90th $776 to $10,471Professionalmedian $955 · 10th to 90th $708 to $2,344
$1K$2K$5K$10K$20Kfacility $1,660professional $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
$776.25
Median
$3,019.95
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,737.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,621.81
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$26,915.35
Typical High
$26,915.35
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31

Where North Carolina 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

North Carolina· 45th of 50

$2,615

$955 physician + $1,660 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.