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Repair Of A Tear In The Roof Of The Mouth

Oregon 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?

$1,062

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

Insurers have agreed to pay about $1,062 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $537 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$389 to $676
Facility feeThe hospital or surgery center$537$372 to $646

How much rates vary

Facilitymedian $537 · 10th to 90th $302 to $832Professionalmedian $525 · 10th to 90th $282 to $851
$100$200$500$1K$2K$5K$10Kfacility $537professional $525

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
$645.65
Median
$851.14
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$794.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$794.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$602.56
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$19,054.61
Typical High
$23,442.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$9,549.93
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$851.14

Where Oregon sits

The same service costs 18.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Oregon· 39th of 50

$1,062

$525 physician + $537 facility

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.