Surgical closure of an abnormal opening that connects the mouth and the nasal cavity, allowing air, food, or liquid to pass between the two where they shouldn't. This opening can result from a cleft palate, prior surgery, trauma, or a nonhealing wound in the roof of the mouth. The surgeon closes the opening with local tissue, sometimes reinforced with a tissue flap, working through the mouth.
Rates data updated July 2026.
How much does Repair of an Oronasal Fistula cost?
$980
Typical total for the visit. In West Virginia, July 2026.
Insurers have agreed to pay about $980 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $490 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.
50% physician fee50% facility fee
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 4 insurance carriers under federal price transparency rules.
What's inside this number
Part of the bill
Who charges it
Typical
Range
Physician feeThe doctor who performs it
The doctor who performs it
$490
$427 to $631
Facility feeThe hospital or surgery center
The hospital or surgery center
$490
$372 to $490
How much rates vary
Facilitymedian $490 · 10th to 90th $372 to $2,344Professionalmedian $490 · 10th to 90th $372 to $646
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$1,412.54
Facility
Global
$371.54
$489.78
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$630.96
Professional
Global
$380.19
$489.78
$630.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$489.78
Facility
Global
$416.87
$416.87
$489.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Professional
Global
$436.52
$436.52
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$2,290.87
Facility
Global
$676.08
$676.08
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$2,951.21
Professional
Global
$426.58
$616.60
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,943.28
Typical High
$16,595.87
Facility
Global
$3,548.13
$7,943.28
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$891.25
Professional
Global
$354.81
$537.03
$891.25
Where West Virginia sits
The same service costs 14.9 times more in Indiana 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.