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Surgery For A Fracture Of The Jaw Joint Knob

Ohio 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?

$6,225

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $6,225 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $5,248 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$977$776 to $1,349
Facility feeThe hospital or surgery center$5,248$2,951 to $9,550

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,479 to $12,589Professionalmedian $977 · 10th to 90th $741 to $2,692
$50$200$1K$5Kfacility $5,248professional $977

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
$1,479.11
Median
$7,762.47
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,819.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$1,737.80
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,584.89

Where Ohio sits

The same service costs 9.4 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Ohio· 21st of 50

$6,225

$977 physician + $5,248 facility

IN $14,996WV $1,589

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.