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Repair Of A Tear In The Roof Of The Mouth

Maryland 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?

$309

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $263 to $372.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $603 to $3,162Professionalmedian $309 · 10th to 90th $245 to $468
$200$500$1K$2K$5K$10Kfacility $1,259professional $309

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
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$426.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,754.23
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,096.48
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$588.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$501.19

Where Maryland sits

The same service costs 2.2 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 50th of 51

$309

MN $676WV $302

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.