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Repair Of A Tear In The Roof Of The Mouth

South Dakota 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?

$925

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $925 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $479 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$447$316 to $617
Facility feeThe hospital or surgery center$479$316 to $741

How much rates vary

Facilitymedian $479 · 10th to 90th $257 to $3,090Professionalmedian $447 · 10th to 90th $245 to $776
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $479professional $447

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
$257.04
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$588.84
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$676.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$831.76

Where South Dakota 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 feeSouth Dakota $925 · 42nd 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.