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Complex Open Repair of an Upper Jaw Fracture

Oregon 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?

$2,961

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

Insurers have agreed to pay about $2,961 for this procedure. That total is two separate charges: $1,413 to the doctor who performs it, and $1,549 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,413$1,148 to $1,778
Facility feeThe hospital or surgery center$1,549$1,288 to $1,698

How much rates vary

Facilitymedian $1,549 · 10th to 90th $933 to $8,913Professionalmedian $1,413 · 10th to 90th $759 to $2,188
$100$500$2K$10Kfacility $1,549professional $1,413

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
$1,995.26
Median
$7,943.28
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,905.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,862.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$1,905.46
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,513.56
Typical High
$2,137.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$15,135.61
Typical High
$21,877.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,862.09
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$17,378.01
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$2,137.96

Where Oregon 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

Oregon· 40th of 50

$2,961

$1,413 physician + $1,549 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.