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Complex Open Repair of an Upper Jaw Fracture

Utah 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?

$7,174

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

Insurers have agreed to pay about $7,174 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $6,026 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,148$776 to $1,622
Facility feeThe hospital or surgery center$6,026$3,388 to $8,318

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,175 to $10,715Professionalmedian $1,148 · 10th to 90th $741 to $4,365
$50$200$1K$5Kfacility $6,026professional $1,148

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
$1,174.90
Median
$6,025.60
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,905.46
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,471.29
Typical High
$15,135.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,041.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$1,513.56
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,318.26

Where Utah 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

Utah· 12th of 50

$7,174

$1,148 physician + $6,026 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.