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Repair Of A Tear In The Roof Of The Mouth

Florida 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?

$6,612

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

Insurers have agreed to pay about $6,612 for this procedure. That total is two separate charges: $302 to the doctor who performs it, and $6,310 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$302$257 to $363
Facility feeThe hospital or surgery center$6,310$2,042 to $10,965

How much rates vary

Facilitymedian $6,310 · 10th to 90th $813 to $19,055Professionalmedian $302 · 10th to 90th $234 to $490
$100.0$1.0K$10.0K$100.0K$1.0M$10.0Mfacility $6,310professional $302

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
$741.31
Median
$4,073.80
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$467.74
AvMed
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,630.78
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,778.28
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$616.60
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$14,454.40
Typical High
$5,370,317.96
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$199.53
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,370.32
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$549.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$346.74

Where Florida 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 feeFlorida $6,612 · 4th 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.