go back

Repair of a Small Palate Laceration

Arizona 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 Arizona, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $1,514 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$240$195 to $295
FacilityA hospital or hospital-owned outpatient department$1,514$295 to $3,090

How much rates vary

Facilitymedian $1,514 · 10th to 90th $219 to $5,623Professionalmedian $240 · 10th to 90th $174 to $437
$200$500$1K$2K$5Kfacility $1,514professional $240

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
$1,445.44
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$933.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$407.38

Where Arizona 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.

Arizona· 32nd 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.