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Repair of a Small Palate Laceration

North Dakota 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?

$389

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $251 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$407$251 to $501
FacilityA hospital or hospital-owned outpatient department$251$182 to $363

How much rates vary

Facilitymedian $251 · 10th to 90th $178 to $1,995Professionalmedian $407 · 10th to 90th $182 to $617
$200$500$1K$2K$5Kfacility $251professional $407

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
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$436.52
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$416.87
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$316.23
Typical High
$512.86

Where North Dakota 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.

North Dakota· 4th of 51

$389

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.