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Repair Of A Tear In The Roof Of The Mouth

Kansas 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?

$2,875

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

Insurers have agreed to pay about $2,875 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $2,512 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$309 to $457
Facility feeThe hospital or surgery center$2,512$447 to $5,623

How much rates vary

Facilitymedian $2,512 · 10th to 90th $339 to $7,943Professionalmedian $363 · 10th to 90th $257 to $525
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,512professional $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
$407.38
Median
$3,801.89
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$537.03

Where Kansas 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 feeKansas $2,875 · 25th 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.