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Open Surgery For Jaw Joint Dislocation

New Hampshire rates for HCPCS 21490

Puts a dislocated jaw joint back in place through an incision in front of the ear, with the joint exposed to direct view. Working directly lets the surgeon clear tissue that is blocking the joint and secure it so it stays seated. It is used when the jaw cannot be put back by manipulation from the outside, or when it keeps slipping out.

Rates data updated July 2026.

How much does Open Surgery For Jaw Joint Dislocation cost?

$1,175

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,754 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 6 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$1,175$933 to $1,514
FacilityA hospital or hospital-owned outpatient department$2,754$1,698 to $3,890

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,230 to $11,482Professionalmedian $1,175 · 10th to 90th $832 to $1,862
$100$200$500$1K$2K$5K$10Kfacility $2,754professional $1,175

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
$100.00
Median
$3,235.94
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,479.11
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,288.25
Typical High
$2,398.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$2,454.71
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$933.25

Where New Hampshire sits

The same service costs 6.3 times more in California 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.

New Hampshire· 30th of 51

$1,175

CA $5,012WV $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.