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Repair Of A Tear In The Roof Of The Mouth

Connecticut 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?

$6,235

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

Insurers have agreed to pay about $6,235 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $5,888 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$347$282 to $479
Facility feeThe hospital or surgery center$5,888$4,571 to $8,318

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,090 to $13,183Professionalmedian $347 · 10th to 90th $251 to $724
$200$500$1K$2K$5K$10Kfacility $5,888professional $347

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
$3,090.30
Median
$5,248.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$13,803.84
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,888.44
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$794.33
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$7,079.46
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$912.01

Where Connecticut sits

The same service costs 18.0 times more in Indiana 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.

Physician feeFacility fee

Connecticut· 6th of 50

$6,235

$347 physician + $5,888 facility

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.