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Repair of a Small Palate Laceration

Florida 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?

$240

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $3,020 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$224$191 to $275
FacilityA hospital or hospital-owned outpatient department$3,020$1,318 to $6,310

How much rates vary

Facilitymedian $3,020 · 10th to 90th $550 to $10,715Professionalmedian $224 · 10th to 90th $166 to $363
$50$200$1K$5Kfacility $3,020professional $224

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
$549.54
Median
$3,311.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$354.81
AvMed
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,548.82
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$478.63
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,884.03
Typical High
$6,309.57
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$144.54
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,202.26
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$416.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$263.03

Where Florida 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.

Florida· 48th of 51

$240

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.