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Repair Of A Tear In The Roof Of The Mouth

Missouri 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?

$3,501

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

Insurers have agreed to pay about $3,501 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $3,162 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$339$282 to $427
Facility feeThe hospital or surgery center$3,162$1,479 to $4,898

How much rates vary

Facilitymedian $3,162 · 10th to 90th $339 to $7,079Professionalmedian $339 · 10th to 90th $251 to $661
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,162professional $339

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
$309.03
Median
$2,511.89
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,019.95
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$602.56

Where Missouri 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 feeMissouri $3,501 · 19th 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.