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Repair of a Small Palate Laceration

Mississippi 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?

$269

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $537 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$269$209 to $380
FacilityA hospital or hospital-owned outpatient department$537$339 to $933

How much rates vary

Facilitymedian $537 · 10th to 90th $174 to $1,514Professionalmedian $269 · 10th to 90th $174 to $537
$50$100$200$500$1K$2Kfacility $537professional $269

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
$173.78
Median
$537.03
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$575.44
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$524.81

Where Mississippi 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.

Mississippi· 26th of 51

$269

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.