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Broken Jaw Wired Without Surgery

Virginia rates for HCPCS 21453

Treats a broken lower jaw without opening the skin, by moving the pieces back into position and then fastening the upper and lower teeth together so the jaw is held still while it heals. Arch bars, wires or elastic bands hold the bite in the right alignment. Food is taken as liquids or soft blended meals until the fastening is released.

Rates data updated July 2026.

How much does Broken Jaw Wired Without Surgery cost?

$1,549

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $1,072 to $5,888.

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.

How much rates vary

Facilitymedian $1,585 · 10th to 90th $891 to $10,000Professionalmedian $1,230 · 10th to 90th $813 to $2,239
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $1,585professional $1,230

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. 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
Global
Typical Low
$1,071.52
Median
$3,388.44
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,698.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,778.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$22,387.21

Where Virginia sits

The same service costs 14.8 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $1,549 · 46th of 50
IN $15,136ND $1,023

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.