CPT 21431
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Treat craniofacial fracture
Low
$679
Average
$4.4k
Median
$3.7k
High
$18.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 8.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +24 other terms | 372 | $9.4k | $9.2k | $4.7k | 51% | — | $1 – $36.5k |
| 2 | Aetna fee schedule · outpatient · +22 other terms | 315 | $6.3k | $6.4k | $5.0k | 78% | — | $79 – $48.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 292 | $6.6k | $8.6k | $6.2k | 71% | — | $0 – $40.7k |
| 4 | Cigna case rate · outpatient · +18 other terms | 221 | $6.8k | $11.8k | $8.4k | 72% | — | $1 – $40.7k |
| 5 | Humana fee schedule · outpatient · +20 other terms | 183 | $5.1k | $4.2k | $2.8k | 66% | — | $601 – $17.1k |
| 6 | Anthem fee schedule · outpatient · +15 other terms | 104 | $730 | $3.6k | $6.7k | 185% | — | $339 – $43.3k |
| 7 | Molina fee schedule · outpatient · +14 other terms | 96 | $7.0k | $6.0k | $4.3k | 73% | — | $90 – $13.7k |
| 8 | Kaiser fee schedule · outpatient · +11 other terms | 65 | $696 | $6.9k | $8.0k | 114% | — | $339 – $47.6k |
| 9 | Oscar case rate · outpatient · +12 other terms | 57 | $3.6k | $4.5k | $1.4k | 32% | — | $3.3k – $7.3k |
| 10 | WellCare fee schedule · outpatient · +12 other terms | 55 | $6.8k | $5.6k | $2.5k | 45% | — | $115 – $8.1k |
| 11 | Healthcare Highways case rate · outpatient | 53 | $5.8k | $8.1k | $5.1k | 63% | — | $2.1k – $14.6k |
| 12 | Devoted fee schedule · outpatient · +6 other terms | 49 | $5.5k | $4.2k | $2.5k | 60% | — | $665 – $6.6k |
| 13 | Ambetter facility · fee schedule · outpatient · +8 other terms | 45 | $10.1k | $9.8k | $2.4k | 25% | — | $977 – $13.4k |
| 14 | Optum fee schedule · outpatient · +7 other terms | 33 | $5.4k | $6.6k | $5.6k | 85% | — | $682 – $21.9k |
| 15 | Superior Healthplan case rate · outpatient · +1 other terms | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 16 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $1.1k | $1.2k | $489 | 41% | — | $579 – $3.1k |
| 17 | Caresource facility · fee schedule · outpatient · +10 other terms | 30 | $9.1k | $8.4k | $2.8k | 33% | — | $701 – $13.1k |
| 18 | Medica case rate · outpatient · +9 other terms | 26 | $3.9k | $4.8k | $2.4k | 49% | — | $1.6k – $10.6k |
| 19 | Tricare fee schedule · outpatient · +10 other terms | 24 | $6.2k | $14.4k | $17.0k | 118% | — | $5.3k – $50k |
| 20 | Regence professional · fee schedule · outpatient · +7 other terms | 20 | $285 | $312 | $244 | 78% | — | $107 – $1.4k |
| 21 | Medicare fee schedule · outpatient · +8 other terms | 18 | $682 | $659 | $25 | 4% | — | $616 – $696 |
| 22 | Clover facility · fee schedule · outpatient · +5 other terms | 17 | $5.8k | $6.0k | $323 | 5% | — | $5.5k – $6.4k |
| 23 | Highmark fee schedule · outpatient · +6 other terms | 16 | $777 | $1.5k | $2.7k | 173% | — | $427 – $17.4k |
| 24 | Medical Mutual facility · fee schedule · outpatient · +5 other terms | 16 | $5.8k | $7.0k | $4.2k | 60% | — | $3.0k – $22.3k |
| 25 | MultiPlan fee schedule · outpatient · +12 other terms | 15 | $8.5k | $8.4k | $160 | 2% | — | $6.2k – $8.5k |
← Hospitals reporting CPT 21431 · Snapshot 20261113T090226Z-3ce6c0b8