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Complex Open Repair of an Upper Jaw Fracture

Tennessee 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?

$5,029

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

Insurers have agreed to pay about $5,029 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $4,074 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$955$759 to $1,259
Facility feeThe hospital or surgery center$4,074$2,399 to $6,457

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,148 to $8,913Professionalmedian $955 · 10th to 90th $724 to $1,778
$100$500$2K$10Kfacility $4,074professional $955

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
$933.25
Median
$2,570.40
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,737.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,659.59
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$26,915.35
Typical High
$26,915.35
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,621.81

Where Tennessee 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

Tennessee· 29th of 50

$5,029

$955 physician + $4,074 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.