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Repair Of A Tear In The Roof Of The Mouth

Tennessee 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?

$3,030

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

Insurers have agreed to pay about $3,030 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $2,692 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$339$275 to $398
Facility feeThe hospital or surgery center$2,692$1,820 to $4,786

How much rates vary

Facilitymedian $2,692 · 10th to 90th $692 to $9,120Professionalmedian $339 · 10th to 90th $251 to $550
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,692professional $339

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
$616.60
Median
$1,905.46
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,165.95
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$3,162.28
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$588.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,754.23
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,311.31
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$588.84

Where Tennessee 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 feeTennessee $3,030 · 24th 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.