Last updated: March 2026
How Much Does Jaw Surgery (Orthognathic Surgery) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Upper Jaw Surgery (Le Fort I) | $20,000 – $40,000 | $5,000 – $10,000 |
| Lower Jaw Surgery (BSSO) | $20,000 – $40,000 | $5,000 – $10,000 |
| Double Jaw Surgery (Bimaxillary) | $30,000 – $50,000 | $7,000 – $12,000 |
| Genioplasty (Chin Surgery) | $5,000 – $15,000 | $2,000 – $5,000 |
CPT/ADA Code: 21196
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: May be covered when medically necessary for functional jaw problems — requires prior authorization
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Jaw surgery costs $20,000 to $50,000 without insurance. Double jaw surgery is the most expensive. Orthodontic treatment before and after adds to costs.
Medical insurance may cover jaw surgery when medically necessary for functional problems like malocclusion, sleep apnea, or TMJ disorders. Dental insurance rarely covers it.
Jaw surgery recovery takes 6-12 weeks. A modified diet is required for 6 weeks. Full bone healing takes 3-6 months.