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Complex Closed Treatment of a Dislocated Jaw

Virginia rates for HCPCS 21485

A procedure to reposition a dislocated jaw joint back into place without surgery, used for a more complicated case such as a jaw that keeps dislocating repeatedly and needs a splint or a period of jaw fixation afterward to keep it stable. The joint is manipulated back into its normal position, and additional support is used to help prevent the dislocation from happening again right away. It is a more involved version of jaw dislocation treatment than a single straightforward repositioning.

Rates data updated July 2026.

How much does Complex Closed Treatment of a Dislocated Jaw cost?

$955

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $1,585 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 8 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$933$741 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,585$851 to $3,802

How much rates vary

Facilitymedian $1,585 · 10th to 90th $646 to $6,918Professionalmedian $933 · 10th to 90th $603 to $1,905
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,585professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,467.37
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,905.46
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,862.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$2,290.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,548.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$3,467.37
Sentara
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$1,584.89

Where Virginia sits

The same service costs 3.7 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $955 · 34th of 51
CA $2,951KY $794

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.