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Repair of a Small Palate Laceration

Louisiana 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?

$275

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $1,122 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$257$209 to $331
FacilityA hospital or hospital-owned outpatient department$1,122$501 to $2,512

How much rates vary

Facilitymedian $1,122 · 10th to 90th $339 to $3,467Professionalmedian $257 · 10th to 90th $174 to $407
$200$500$1K$2K$5Kfacility $1,122professional $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
$338.84
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$407.38
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$165.96
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$630.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$398.11

Where Louisiana 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.

Louisiana· 20th of 51

$275

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.