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Open Jaw Fracture Repair With External Fixation

Tennessee rates for HCPCS 21454

This service surgically treats a broken lower jawbone through an open approach, using a stabilizing frame or pins placed through the skin to hold the bone in the correct position while it heals. It is used for jaw fractures that need more support than simple splinting or wiring can provide. The device stays in place for a period of weeks while the bone mends.

Rates data updated July 2026.

How much does Open Jaw Fracture Repair With External Fixation cost?

$661

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $3,548 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$617$490 to $813
FacilityA hospital or hospital-owned outpatient department$3,548$2,512 to $6,026

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,318 to $8,710Professionalmedian $617 · 10th to 90th $447 to $1,288
$500$1K$2K$5K$10K$20Kfacility $3,548professional $617

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
$1,000.00
Median
$2,951.21
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,122.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$42,657.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$1,071.52

Where Tennessee sits

The same service costs 13.2 times more in California than in Maryland. 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.

Tennessee· 38th of 51

$661

CA $6,607MD $501

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.