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Repair Of A Tear In The Roof Of The Mouth

Rhode Island 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?

$4,046

Typical total for the visit. In Rhode Island, July 2026.

Insurers have agreed to pay about $4,046 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $3,715 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$309 to $417
Facility feeThe hospital or surgery center$3,715$2,754 to $5,370

How much rates vary

Facilitymedian $3,715 · 10th to 90th $871 to $7,586Professionalmedian $331 · 10th to 90th $257 to $468
$500$1K$2K$5K$10Kfacility $3,715professional $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
$2,089.30
Median
$2,754.23
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$575.44

Where Rhode Island 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

Rhode Island· 16th of 50

$4,046

$331 physician + $3,715 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.