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Repair of a Small Palate Laceration

South Dakota 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?

$339

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $347 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 7 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$331$251 to $468
FacilityA hospital or hospital-owned outpatient department$347$240 to $550

How much rates vary

Facilitymedian $347 · 10th to 90th $182 to $2,291Professionalmedian $331 · 10th to 90th $178 to $589
$100$200$500$1K$2Kfacility $347professional $331

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
$181.97
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$416.87
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$512.86
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$645.65

Where South Dakota 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.

South Dakota· 7th of 51

$339

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.