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Repair of a Small Palate Laceration

Alabama 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?

$257

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $1,259 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 4 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$251$195 to $339
FacilityA hospital or hospital-owned outpatient department$1,259$692 to $1,585

How much rates vary

Facilitymedian $1,259 · 10th to 90th $417 to $1,905Professionalmedian $251 · 10th to 90th $174 to $501
$200$500$1K$2Kfacility $1,259professional $251

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$707.95
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$380.19

Where Alabama 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.

Alabama· 33rd of 51

$257

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.