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Repair Of A Tear In The Roof Of The Mouth

New Mexico 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?

$739

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

Insurers have agreed to pay about $739 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $407 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$331$269 to $389
Facility feeThe hospital or surgery center$407$331 to $525

How much rates vary

Facilitymedian $407 · 10th to 90th $275 to $955Professionalmedian $331 · 10th to 90th $251 to $513
$50.0$200.0$1.0K$5.0K$20.0Kfacility $407professional $331

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
$354.81
Median
$524.81
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$645.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$6,918.31
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$616.60

Where New Mexico 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 Mexico $739 · 49th 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.