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Complex Open Repair Of A Broken Lower Jaw

North Carolina rates for HCPCS 21470

Repairs a badly broken lower jaw through more than one incision, using plates, screws, or wires to hold the pieces in the right position and wiring the upper and lower teeth together so the bite lines up while it heals. It is used for the more complicated jaw fractures, where a single approach would not let the surgeon reach and secure all the fragments.

Rates data updated July 2026.

How much does Complex Open Repair Of A Broken Lower Jaw cost?

$4,571

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $1,660 to $12,023.

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 $4,571 · 10th to 90th $1,148 to $16,596Professionalmedian $1,862 · 10th to 90th $1,862 to $2,692
$1K$2K$5K$10K$20Kfacility $4,571professional $1,862

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
$1,148.15
Median
$11,220.18
Typical High
$17,378.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,819.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$21,877.62
Typical High
$21,877.62

Where North Carolina sits

The same service costs 30.2 times more in West Virginia than in North Dakota. 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.

North Carolina· 28th of 50

$4,571

WV $35,481ND $1,175

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.