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Repair Of A Tear In The Roof Of The Mouth

Illinois 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.

Facilitymedian $1,738 · 10th–90th $339$6,0260%5%10th90th$1,738Professionalmedian $339 · 10th–90th $251$6030%10%10th90th$339$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,584.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$7,244.36
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,288.25
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$645.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$1,445.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,365.16
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$616.60