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Complex Open Repair of an Upper Jaw Fracture

Nevada 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?

$4,832

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

Insurers have agreed to pay about $4,832 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $3,981 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$851$776 to $1,175
Facility feeThe hospital or surgery center$3,981$2,951 to $5,248

How much rates vary

Facilitymedian $3,981 · 10th to 90th $776 to $8,128Professionalmedian $851 · 10th to 90th $724 to $3,548
$20$100$500$2K$10Kfacility $3,981professional $851

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
$3,162.28
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,548.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$758.58
Typical High
$1,348.96
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$707.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,548.13
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,445.44

Where Nevada 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

Nevada· 30th of 50

$4,832

$851 physician + $3,981 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.