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Repair of a Small Palate Laceration

Arkansas 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?

$251

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $631 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$234$200 to $282
FacilityA hospital or hospital-owned outpatient department$631$324 to $1,072

How much rates vary

Facilitymedian $631 · 10th to 90th $229 to $1,820Professionalmedian $234 · 10th to 90th $174 to $324
$100$200$500$1K$2Kfacility $631professional $234

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
$229.09
Median
$794.33
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$457.09
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$398.11

Where Arkansas 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.

Arkansas· 36th of 51

$251

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.