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Repair of a Small Palate Laceration

New Hampshire 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?

$324

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $1,413 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$324$245 to $437
FacilityA hospital or hospital-owned outpatient department$1,413$661 to $2,630

How much rates vary

Facilitymedian $1,413 · 10th to 90th $186 to $8,913Professionalmedian $324 · 10th to 90th $195 to $575
$100$200$500$1K$2K$5K$10Kfacility $1,413professional $324

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
$467.74
Median
$851.14
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$363.08
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$588.84
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$676.08
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$316.23

Where New Hampshire 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.

New Hampshire· 10th of 51

$324

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.