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Complex Open Repair of an Upper Jaw Fracture

South Carolina 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?

$10,462

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $10,462 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $9,550 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$912$776 to $1,047
Facility feeThe hospital or surgery center$9,550$1,148 to $16,596

How much rates vary

Facilitymedian $9,550 · 10th to 90th $912 to $21,878Professionalmedian $912 · 10th to 90th $692 to $1,995
$50$200$1K$5K$20Kfacility $9,550professional $912

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
$912.01
Median
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$8,709.64
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,348.96

Where South Carolina 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

South Carolina· 5th of 50

$10,462

$912 physician + $9,550 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.