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Open Repair Of Midface Separation Fracture

Washington rates for HCPCS 21432

Open surgery to repair a severe facial fracture in which the whole midface has been separated from the base of the skull. The surgeon exposes the broken bones, moves them back into their correct position and holds them there with wires or small fixation devices. Restoring the position of the bones brings the bite back together and returns the face to its normal shape.

Rates data updated July 2026.

How much does Open Repair Of Midface Separation Fracture cost?

$1,349

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,778 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 10 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$1,096$891 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,778$1,047 to $10,000

How much rates vary

Facilitymedian $1,778 · 10th to 90th $871 to $18,621Professionalmedian $1,096 · 10th to 90th $661 to $2,089
$100.0$1.0K$10.0Kfacility $1,778professional $1,096

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
$977.24
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$2,089.30
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$17,378.01
Typical High
$29,512.09
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$2,137.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,445.44
Typical High
$10,000.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,380.38
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$1,412.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$1,905.46
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$15,488.17
Typical High
$28,840.32
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$17,782.79
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$1,949.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,412.54

Where Washington sits

The same service costs 9.5 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington $1,349 · 9th of 51
CA $6,607KY $692

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.