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Palate Or Throat Lesion Removal With Flap Closure

Tennessee rates for HCPCS 42107

Surgical removal of an abnormal growth from the roof of the mouth or the soft tissue at the back of the throat, with the resulting wound then closed using a flap of nearby tissue repositioned to cover the area. This differs from simply stitching the wound edges directly together.

Rates data updated July 2026.

How much does Palate Or Throat Lesion Removal With Flap Closure cost?

$468

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $2,692 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 5 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$457$363 to $562
FacilityA hospital or hospital-owned outpatient department$2,692$1,820 to $4,786

How much rates vary

Facilitymedian $2,692 · 10th to 90th $759 to $9,120Professionalmedian $457 · 10th to 90th $324 to $776
$500$1K$2K$5K$10K$20Kfacility $2,692professional $457

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
$616.60
Median
$1,905.46
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,165.95
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$3,162.28
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$812.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$812.83

Where Tennessee sits

The same service costs 2.1 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.

Tennessee· 34th of 51

$468

MN $871KY $417

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.