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Repair of a Small Palate Laceration

Nevada 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?

$245

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $1,698 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$240$195 to $288
FacilityA hospital or hospital-owned outpatient department$1,698$269 to $2,570

How much rates vary

Facilitymedian $1,698 · 10th to 90th $195 to $4,365Professionalmedian $240 · 10th to 90th $174 to $372
$200$500$1K$2K$5K$10Kfacility $1,698professional $240

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
$194.98
Median
$1,698.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$407.38
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$229.09
Typical High
$338.84
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$380.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$251.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$478.63
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$407.38

Where Nevada 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.

Nevada· 43rd of 51

$245

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.