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Repair Of A Tear In The Roof Of The Mouth

Iowa 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?

$3,368

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

Insurers have agreed to pay about $3,368 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $2,951 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$417$309 to $575
Facility feeThe hospital or surgery center$2,951$562 to $5,370

How much rates vary

Facilitymedian $2,951 · 10th to 90th $398 to $7,943Professionalmedian $417 · 10th to 90th $251 to $1,413
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,951professional $417

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
$562.34
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$602.56
Typical High
$954.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$512.86
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$588.84
Typical High
$8,317.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$660.69
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$891.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$7,413.10
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$812.83

Where Iowa 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 feeIowa $3,368 · 21st 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.