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Surgery For A Fracture Of The Jaw Joint Knob

Maine rates for HCPCS 21465

Repairs a break in the condyle, the rounded knob at the top of the lower jaw that fits into the joint just in front of the ear. The surgeon exposes the fracture, brings the fragments back into position and secures them, usually with small plates and screws, so the bite lines up again. It is chosen when the fragments have shifted far enough that the teeth would not meet properly if left alone.

Rates data updated July 2026.

How much does Surgery For A Fracture Of The Jaw Joint Knob cost?

$933

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $871 to $1,175.

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.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $12,023 to $12,023Professionalmedian $933 · 10th to 90th $813 to $1,585
$1K$2K$5K$10Kfacility $12,023professional $933

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
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,819.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$2,041.74
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$933.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,819.70

Where Maine sits

The same service costs 7.8 times more in California than in Delaware. 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.

Maine· 47th of 51

$933

CA $6,310DE $813

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.