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Repair Of A Tear In The Roof Of The Mouth

Nebraska 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?

$4,720

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

Insurers have agreed to pay about $4,720 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $4,365 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$302 to $562
Facility feeThe hospital or surgery center$4,365$537 to $7,943

How much rates vary

Facilitymedian $4,365 · 10th to 90th $355 to $13,490Professionalmedian $355 · 10th to 90th $257 to $912
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,365professional $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
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$575.44
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$5,623.41
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$794.33

Where Nebraska 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 feeNebraska $4,720 · 10th 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.