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Repair Of A Tear In The Roof Of The Mouth

Georgia 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?

$3,994

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

Insurers have agreed to pay about $3,994 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $3,631 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$363$295 to $501
Facility feeThe hospital or surgery center$3,631$1,585 to $5,623

How much rates vary

Facilitymedian $3,631 · 10th to 90th $562 to $7,762Professionalmedian $363 · 10th to 90th $257 to $646
$100.0$1.0K$10.0Kfacility $3,631professional $363

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
$446.68
Median
$4,570.88
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,570.40
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$758.58
CareSource
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$691.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,235.94
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$660.69

Where Georgia 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 feeGeorgia $3,994 · 17th 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.