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Repair of Severe Midface Fracture With Fixation

Alaska rates for HCPCS 21435

Surgery for a severe facial break in which the midface has been separated from the skull. The bones are moved back into their correct position and held there with fixation, which may combine plates or wires inside the face with an external appliance or frame, until the fragments knit together.

Rates data updated October 2026.

How much does Repair of Severe Midface Fracture With Fixation cost?

$5,754

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $5,754 from a physician practice, and about $8,913 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,754$3,715 to $5,888
FacilityA hospital or hospital-owned outpatient department$8,913$6,761 to $12,589

How much rates vary

Facilitymedian $8,913 · 10th to 90th $3,388 to $17,783Professionalmedian $5,754 · 10th to 90th $1,479 to $6,918
$100$500$2K$10Kfacility $8,913professional $5,754

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$6,918.31
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$9,772.37
Typical High
$30,199.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$2,041.74
Typical High
$4,677.35
Moda Health
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$6,918.31
Typical High
$9,772.37
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$5,128.61
Typical High
$7,413.10
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Providence
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$9,549.93
Typical High
$30,199.52
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,905.46
Typical High
$4,677.35
United
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$7,585.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$3,715.35
Typical High
$8,128.31

Where Alaska sits

The same service costs 20.0 times more in Alaska than in Texas. 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.

Alaska· 1st of 51

$5,754

AK $5,754TX $288

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.