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Repair of a Small Palate Laceration

Maryland 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 physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $191 to $288.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $155 · 10th to 90th $78 to $550Professionalmedian $240 · 10th to 90th $174 to $398
$50$100$200$500$1Kfacility $155professional $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
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$446.68
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$389.05

Where Maryland 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.

Maryland· 46th 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.