go back

Closed Treatment Of A Midface-Skull Separation

New Jersey rates for HCPCS 21431

Realigns a severe facial fracture in which the middle of the face has broken away from the base of the skull, without opening the fracture site surgically. The upper and lower teeth are wired together, or a splint or denture is fixed in place, to hold the face in the right position while the bones heal. It follows high-energy injuries such as a car crash or a heavy blow to the face.

Rates data updated July 2026.

How much does Closed Treatment Of A Midface-Skull Separation cost?

$933

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $7,943 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$661 to $1,259
FacilityA hospital or hospital-owned outpatient department$7,943$6,026 to $10,233

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,365 to $12,303Professionalmedian $759 · 10th to 90th $617 to $4,571
$1K$2K$5K$10K$20Kfacility $7,943professional $759

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
$4,365.16
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,096.48
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$22,387.21
Typical High
$30,902.95
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,698.24

Where New Jersey sits

The same service costs 7.4 times more in California than in Kentucky. 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.

New Jersey· 31st of 51

$933

CA $5,012KY $676

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.