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Repair of a Small Palate Laceration

New Mexico 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?

$257

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $316 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$251$200 to $288
FacilityA hospital or hospital-owned outpatient department$316$251 to $562

How much rates vary

Facilitymedian $316 · 10th to 90th $200 to $1,445Professionalmedian $251 · 10th to 90th $178 to $389
$50$100$200$500$1K$2Kfacility $316professional $251

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
$263.03
Median
$398.11
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,258.93
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,096.48
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$457.09

Where New Mexico 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 Mexico· 30th of 51

$257

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.