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Repair of a Small Palate Laceration

Alaska rates for HCPCS 42180

This surgery repairs a cut or tear in the palate, the roof of the mouth, that is small in size. The surgeon cleans the wound and closes it with stitches to restore a normal, intact palate. It is typically used after an accidental injury, such as a fall with an object in the mouth, rather than for a birth-related palate condition.

Rates data updated July 2026.

How much does Repair of a Small Palate Laceration cost?

$468

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $309 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 6 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$525$251 to $955
FacilityA hospital or hospital-owned outpatient department$309$251 to $437

How much rates vary

Facilitymedian $309 · 10th to 90th $204 to $813Professionalmedian $525 · 10th to 90th $191 to $1,318
$200$500$1K$2K$5K$10Kfacility $309professional $525

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
$602.56
Median
$2,511.89
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$602.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$1,479.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,047.13
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$1,000.00

Where Alaska sits

The same service costs 2.2 times more in Minnesota 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.

Alaska· 2nd of 51

$468

MN $501WV $224

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.