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Repair Of A Tear In The Roof Of The Mouth

Minnesota 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?

$1,757

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

Insurers have agreed to pay about $1,757 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $1,096 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$437 to $933
Facility feeThe hospital or surgery center$1,096$525 to $2,884

How much rates vary

Facilitymedian $1,096 · 10th to 90th $316 to $14,454Professionalmedian $661 · 10th to 90th $309 to $1,175
$200$500$1K$2K$5K$10K$20Kfacility $1,096professional $661

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
$245.47
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$10,715.19
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$812.83
Typical High
$1,380.38
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$2,570.40
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$660.69
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,760.83
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$1,023.29

Where Minnesota sits

The same service costs 18.0 times more in Indiana 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.

Physician feeFacility fee

Minnesota· 33rd of 50

$1,757

$661 physician + $1,096 facility

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.