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Repair of a Small Palate Laceration

Nebraska 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?

$288

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $3,388 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$275$214 to $437
FacilityA hospital or hospital-owned outpatient department$3,388$407 to $7,943

How much rates vary

Facilitymedian $3,388 · 10th to 90th $263 to $13,490Professionalmedian $275 · 10th to 90th $186 to $631
$200$500$1K$2K$5K$10K$20Kfacility $3,388professional $275

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
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$426.58
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$812.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$616.60

Where Nebraska 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.

Nebraska· 19th of 51

$288

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.