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Complex Open Repair of an Upper Jaw Fracture

New Hampshire 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?

$6,798

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $6,798 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $5,623 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 $1,514
Facility feeThe hospital or surgery center$5,623$2,818 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,399 to $14,791Professionalmedian $1,175 · 10th to 90th $794 to $1,862
$100$200$500$1K$2K$5K$10Kfacility $5,623professional $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
Facility
Modifier
Global
Typical Low
$100.00
Median
$2,818.38
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$977.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,318.26
Typical High
$2,398.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,290.87
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$954.99

Where New Hampshire 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

New Hampshire· 16th of 50

$6,798

$1,175 physician + $5,623 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.