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Palate Or Uvula Growth Removal With Simple Closure

Iowa rates for HCPCS 42106

This procedure removes a growth or abnormal tissue from the roof of the mouth or the uvula, the small piece of tissue that hangs at the back of the throat. The area is then closed with simple stitches in the same procedure.

Rates data updated July 2026.

How much does Palate Or Uvula Growth Removal With Simple Closure cost?

$295

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $2,951 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 7 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$275$234 to $490
FacilityA hospital or hospital-owned outpatient department$2,951$398 to $5,012

How much rates vary

Facilitymedian $2,951 · 10th to 90th $269 to $7,244Professionalmedian $275 · 10th to 90th $162 to $1,023
$200$500$1K$2K$5K$10Kfacility $2,951professional $275

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
$426.58
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$426.58
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$371.54
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$707.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,128.61
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$630.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$645.65

Where Iowa sits

The same service costs 2.0 times more in Minnesota 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.

Iowa· 12th of 51

$295

MN $457KY $229

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.