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Complex Open Repair of an Upper Jaw Fracture

New Jersey 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?

$8,775

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

Insurers have agreed to pay about $8,775 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $7,943 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$832$741 to $1,380
Facility feeThe hospital or surgery center$7,943$6,026 to $10,233

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,162 to $11,749Professionalmedian $832 · 10th to 90th $676 to $4,677
$1K$2K$5K$10K$20Kfacility $7,943professional $832

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
$2,754.23
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$2,511.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,230.27
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$22,387.21
Typical High
$30,902.95
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,905.46

Where New Jersey 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 Jersey· 10th of 50

$8,775

$832 physician + $7,943 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.