go back

Repair Of A Tear In The Roof Of The Mouth

Arizona 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?

$2,511

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

Insurers have agreed to pay about $2,511 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $2,188 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$324$269 to $389
Facility feeThe hospital or surgery center$2,188$427 to $4,467

How much rates vary

Facilitymedian $2,188 · 10th to 90th $302 to $6,457Professionalmedian $324 · 10th to 90th $240 to $562
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,188professional $324

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
$1,905.46
Median
$3,890.45
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,290.87
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,311.31
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,388.44
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$549.54

Where Arizona 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 feeArizona $2,511 · 28th 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.