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Jaw Wiring For A Non-Fracture Condition

Pennsylvania rates for HCPCS 21497

This procedure wires the upper and lower teeth together to hold the jaw in a fixed position for a reason other than a broken jaw. It is used, for example, to stabilize the jaw after certain corrective jaw surgery or to keep it immobile for a period of healing when no fracture is present.

Rates data updated July 2026.

How much does Jaw Wiring For A Non-Fracture Condition cost?

$724

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $3,631 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 9 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$661$603 to $794
FacilityA hospital or hospital-owned outpatient department$3,631$1,660 to $5,370

How much rates vary

Facilitymedian $3,631 · 10th to 90th $759 to $8,318Professionalmedian $661 · 10th to 90th $537 to $1,072
$500$1K$2K$5K$10Kfacility $3,631professional $661

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
$758.58
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$977.24
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,288.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,479.11
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,230.27
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,090.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,862.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$389.05
Typical High
$416.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,698.24
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,818.38
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,230.27

Where Pennsylvania sits

The same service costs 4.1 times more in California than in Kentucky. 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.

Pennsylvania· 43rd of 51

$724

CA $2,570KY $631

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.