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Repair of a Small Palate Laceration

Utah 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?

$295

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $3,020 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$282$234 to $380
FacilityA hospital or hospital-owned outpatient department$3,020$724 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $240 to $4,571Professionalmedian $282 · 10th to 90th $186 to $708
$50$100$200$500$1K$2K$5Kfacility $3,020professional $282

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
$239.88
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$426.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,513.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$467.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$501.19
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$416.87

Where Utah 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.

Utah· 15th of 51

$295

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.