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Repair Of A Tear In The Roof Of The Mouth

Colorado 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?

$3,650

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

Insurers have agreed to pay about $3,650 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $3,311 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$275 to $417
Facility feeThe hospital or surgery center$3,311$417 to $9,772

How much rates vary

Facilitymedian $3,311 · 10th to 90th $316 to $13,804Professionalmedian $339 · 10th to 90th $251 to $575
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,311professional $339

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
$3,630.78
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$602.56
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$1,174.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$707.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$630.96

Where Colorado 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 feeColorado $3,650 · 18th 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.