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Repair Of A Tear In The Roof Of The Mouth

Montana 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?

$833

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

Insurers have agreed to pay about $833 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $479 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$355$295 to $537
Facility feeThe hospital or surgery center$479$437 to $575

How much rates vary

Facilitymedian $479 · 10th to 90th $347 to $676Professionalmedian $355 · 10th to 90th $240 to $759
$100.0$1.0K$10.0K$100.0Kfacility $479professional $355

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
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$1,000.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$616.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$501.19
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$630.96

Where Montana 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 feeMontana $833 · 46th 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.