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Repair of a Small Palate Laceration

Minnesota 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?

$501

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $832 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 6 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$490$324 to $692
FacilityA hospital or hospital-owned outpatient department$832$380 to $1,514

How much rates vary

Facilitymedian $832 · 10th to 90th $229 to $1,995Professionalmedian $490 · 10th to 90th $224 to $912
$200$500$1K$2Kfacility $832professional $490

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
$177.83
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,230.27
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$602.56
Typical High
$1,071.52
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,995.26
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$512.86
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,819.70
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$389.05
Typical High
$776.25

Where Minnesota 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.

Minnesota· 1st of 51

$501

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.