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Repair of a Small Palate Laceration

Colorado 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?

$269

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $2,291 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 7 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$257$200 to $316
FacilityA hospital or hospital-owned outpatient department$2,291$302 to $3,981

How much rates vary

Facilitymedian $2,291 · 10th to 90th $229 to $5,888Professionalmedian $257 · 10th to 90th $182 to $437
$200$500$1K$2K$5K$10Kfacility $2,291professional $257

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
$263.03
Median
$3,981.07
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$457.09
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$891.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$549.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,202.26
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$478.63

Where Colorado 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.

Colorado· 23rd of 51

$269

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.