go back

Repair Of A Tear In The Roof Of The Mouth

New Hampshire 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?

$5,429

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $5,429 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $5,012 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$417$324 to $537
Facility feeThe hospital or surgery center$5,012$955 to $6,026

How much rates vary

Facilitymedian $5,012 · 10th to 90th $214 to $9,550Professionalmedian $417 · 10th to 90th $269 to $724
$100.0$500.0$2.0K$10.0Kfacility $5,012professional $417

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
$602.56
Median
$1,174.90
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$776.25
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$4,265.80
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$4,265.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$870.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$407.38

Where New Hampshire 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 feeNew Hampshire $5,429 · 8th 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.