How much does orthognathic surgery cost?

A clear breakdown of what orthognathic surgery actually costs in 2026 — what's bundled, what isn't, and how regional pricing changes the bill.

What drives the cost of orthognathic surgery?

Single jaw vs. double jaw vs. genioplasty add

Single-jaw (BSSO mandible or Le Fort I maxilla) $20,000–$40,000. Double-jaw (both, 'bimaxillary') $40,000–$70,000. Adding genioplasty $3,000–$6,000.

Insurance for functional cases

When orthognathic surgery is for documented bite, breathing (sleep apnea via MMA), or TMJ issues, medical insurance often covers a substantial portion. Pre-auth process is rigorous (cephalometric analysis, ortho records, sleep studies).

Pre- and post-op orthodontics

Most orthognathic cases require 12–18 months of orthodontics before surgery and 6–12 months after. Total ortho cost typically $5,000–$10,000 in addition to surgery.

Is orthognathic surgery covered by insurance?

Functional cases (Class II/III malocclusion documented for years, severe sleep apnea responding to MMA, severe TMJ disorder) often covered. Cosmetic-only cases (mild aesthetic adjustments without functional issue) are not. Pre-auth process is extensive.

Orthognathic Surgery cost by city

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Estimates based on national average × regional multiplier. Final price depends on surgeon, technique, and case complexity.

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