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Repair Of A Tear In The Roof Of The Mouth

Maine 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?

$398

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $309 to $537.

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 $617 · 10th to 90th $617 to $12,023Professionalmedian $398 · 10th to 90th $275 to $776
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $617professional $398

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$741.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$870.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$741.31

Where Maine sits

The same service costs 2.2 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $398 · 14th of 51
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.