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Repair of Severe Midface Fracture With Fixation

Montana 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?

$2,188

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $2,188 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,188$1,445 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,188$2,138 to $2,455

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,950 to $6,166Professionalmedian $2,188 · 10th to 90th $85 to $2,399
$100$200$500$1K$2K$5K$10Kfacility $2,188professional $2,188

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$6,165.95
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,238.72
Typical High
$2,238.72
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$2,137.96
Typical High
$2,454.71
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,137.96
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$6,165.95
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,041.74
Typical High
$2,238.72
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$2,630.27

Where Montana 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.

Montana· 14th of 51

$2,188

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.