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Repair Of A Tear In The Roof Of The Mouth

Louisiana 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?

$2,754

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

Insurers have agreed to pay about $2,754 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $2,399 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$355$288 to $447
Facility feeThe hospital or surgery center$2,399$977 to $4,169

How much rates vary

Facilitymedian $2,399 · 10th to 90th $457 to $8,511Professionalmedian $355 · 10th to 90th $245 to $537
$50.0$200.0$1.0K$5.0Kfacility $2,399professional $355

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
$1,548.82
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$8,709.64
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$524.81
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$223.87
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,951.21
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$537.03

Where Louisiana 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 feeLouisiana $2,754 · 26th 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.