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Repair Of A Tear In The Roof Of The Mouth

Massachusetts 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?

$2,150

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

Insurers have agreed to pay about $2,150 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $1,778 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$372$288 to $575
Facility feeThe hospital or surgery center$1,778$324 to $3,311

How much rates vary

Facilitymedian $1,778 · 10th to 90th $302 to $5,129Professionalmedian $372 · 10th to 90th $251 to $832
$100.0$1.0K$10.0Kfacility $1,778professional $372

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
$323.59
Median
$2,754.23
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$741.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,677.35
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$2,398.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$794.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$691.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,801.89
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$831.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,677.35
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,890.45
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$478.63
Typical High
$870.96

Where Massachusetts 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 feeMassachusetts $2,150 · 30th 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.