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Complex Open Repair of an Upper Jaw Fracture

North Dakota 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?

$2,343

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

Insurers have agreed to pay about $2,343 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $794 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$1,549$794 to $1,820
Facility feeThe hospital or surgery center$794$759 to $6,457

How much rates vary

Facilitymedian $794 · 10th to 90th $759 to $8,511Professionalmedian $1,549 · 10th to 90th $759 to $2,042
$1K$2K$5K$10Kfacility $794professional $1,549

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
$758.58
Median
$794.33
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,513.56
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,912.51
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,380.38
Typical High
$1,995.26

Where North Dakota 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 Dakota· 47th of 50

$2,343

$1,549 physician + $794 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.