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Repair Of A Tear In The Roof Of The Mouth

Oklahoma 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?

$1,665

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

Insurers have agreed to pay about $1,665 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $1,349 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$257 to $355
Facility feeThe hospital or surgery center$1,349$468 to $3,236

How much rates vary

Facilitymedian $1,349 · 10th to 90th $309 to $6,457Professionalmedian $316 · 10th to 90th $240 to $501
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,349professional $316

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
$1,479.11
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,235.94
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$478.63

Where Oklahoma 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 feeOklahoma $1,665 · 34th 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.