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Repair Of A Tear In The Roof Of The Mouth

Delaware 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?

$4,397

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

Insurers have agreed to pay about $4,397 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $4,074 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$324$269 to $380
Facility feeThe hospital or surgery center$4,074$1,479 to $7,244

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,000 to $7,244Professionalmedian $324 · 10th to 90th $257 to $513
$200.0$500.0$1.0K$2.0K$5.0Kfacility $4,074professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$588.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$489.78

Where Delaware 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 feeDelaware $4,397 · 11th 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.