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Repair Of A Tear In The Roof Of The Mouth

Idaho 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?

$893

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

Insurers have agreed to pay about $893 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $513 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$316 to $513
Facility feeThe hospital or surgery center$513$372 to $1,175

How much rates vary

Facilitymedian $513 · 10th to 90th $309 to $8,128Professionalmedian $380 · 10th to 90th $263 to $661
$50.0$200.0$1.0K$5.0K$20.0Kfacility $513professional $380

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
$1,621.81
Median
$4,466.84
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,495.41
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$575.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$776.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$660.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$3,715.35
Typical High
$9,332.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$630.96

Where Idaho 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 feeIdaho $893 · 43rd 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.