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Putting A Dislocated Jaw Back In Place

Hawaii rates for HCPCS 21480

Treats a lower jaw that has slipped out of its socket in front of the ear. The clinician places their thumbs inside the mouth on the back teeth and presses down and back until the joint returns to position, with no incision. It covers a first dislocation and also repeat episodes in someone whose jaw comes out often.

Rates data updated October 2026.

How much does Putting A Dislocated Jaw Back In Place cost?

$917

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $917 for this procedure. That total is two separate charges: $45.71 to the doctor who performs it, and $871 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$45.71$35.48 to $186
Facility feeThe hospital or surgery center$871$813 to $2,818

How much rates vary

Facilitymedian $871 · 10th to 90th $617 to $2,884Professionalmedian $46 · 10th to 90th $27 to $186
$50$100$200$500$1K$2Kfacility $871professional $46

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$45.71
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$190.55
Typical High
$269.15
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$616.60
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$186.21
Typical High
$186.21
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$35.48
Typical High
$39.81

Where Hawaii sits

The same service costs 12.6 times more in New York 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

Hawaii· 10th of 51

$917

$45.71 physician + $871 facility

NY $2,696WV $214

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.