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Complex Open Repair of an Upper Jaw Fracture

Nebraska 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?

$9,770

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

Insurers have agreed to pay about $9,770 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $8,511 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,259$759 to $1,738
Facility feeThe hospital or surgery center$8,511$7,079 to $12,589

How much rates vary

Facilitymedian $8,511 · 10th to 90th $1,318 to $14,454Professionalmedian $1,259 · 10th to 90th $724 to $4,365
$1K$2K$5K$10K$20Kfacility $8,511professional $1,259

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
$7,079.46
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$4,365.16
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$11,748.98
Typical High
$22,908.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,737.80
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,445.44
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$2,454.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$6,918.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,584.89
Typical High
$2,041.74

Where Nebraska 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

Nebraska· 7th of 50

$9,770

$1,259 physician + $8,511 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.