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Repair Of A Tear In The Roof Of The Mouth

Arkansas rates for HCPCS 42182

This procedure surgically closes a tear or wound in the roof of the mouth, called the palate. The surgeon cleans the area and stitches the tissue layers back together to restore a normal palate. It is typically needed after an injury, such as a fall or puncture wound, rather than a birth defect.

Rates data updated July 2026.

How much does Repair Of A Tear In The Roof Of The Mouth cost?

$1,823

Typical total for the visit. In Arkansas, July 2026.

Insurers have agreed to pay about $1,823 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $1,514 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$309$269 to $372
Facility feeThe hospital or surgery center$1,514$832 to $4,074

How much rates vary

Facilitymedian $1,514 · 10th to 90th $372 to $5,370Professionalmedian $309 · 10th to 90th $240 to $437
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,514professional $309

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
$338.84
Median
$1,071.52
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,137.96
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$537.03

Where Arkansas sits

The same service costs 18.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeArkansas $1,823 · 32nd of 50
IN $11,288WV $626

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.