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Repair of a Small Palate Laceration

Iowa 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?

$316

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,202 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$316$240 to $437
FacilityA hospital or hospital-owned outpatient department$1,202$417 to $3,388

How much rates vary

Facilitymedian $1,202 · 10th to 90th $275 to $6,457Professionalmedian $316 · 10th to 90th $182 to $1,047
$200$500$1K$2K$5K$10Kfacility $1,202professional $316

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
$436.52
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$436.52
Typical High
$741.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$436.52
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$691.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,348.96
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$602.56
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$630.96

Where Iowa 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.

Iowa· 11th of 51

$316

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.