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Repair of a Small Palate Laceration

Oregon 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?

$398

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $398 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 8 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$398$282 to $513
FacilityA hospital or hospital-owned outpatient department$398$282 to $501

How much rates vary

Facilitymedian $398 · 10th to 90th $214 to $617Professionalmedian $398 · 10th to 90th $200 to $646
$100$200$500$1K$2K$5Kfacility $398professional $398

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
$478.63
Median
$660.69
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$407.38
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$616.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$602.56
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$457.09
Typical High
$645.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,187.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,621.81
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$645.65

Where Oregon 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.

Oregon· 3rd of 51

$398

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.