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Repair Of A Tear In The Roof Of The Mouth

Nevada 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?

$2,562

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

Insurers have agreed to pay about $2,562 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $2,239 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$324$269 to $372
Facility feeThe hospital or surgery center$2,239$355 to $4,467

How much rates vary

Facilitymedian $2,239 · 10th to 90th $269 to $8,128Professionalmedian $324 · 10th to 90th $240 to $490
$10.0$100.0$1.0K$10.0Kfacility $2,239professional $324

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
$269.15
Median
$2,137.96
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$537.03
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$302.00
Typical High
$457.09
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$489.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$323.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,630.27
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$537.03

Where Nevada 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 feeNevada $2,562 · 27th 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.