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Repair Of A Tear In The Roof Of The Mouth

Utah 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?

$4,096

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

Insurers have agreed to pay about $4,096 for this procedure. That total is two separate charges: $380 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$302 to $525
Facility feeThe hospital or surgery center$3,715$2,455 to $4,571

How much rates vary

Facilitymedian $3,715 · 10th to 90th $347 to $6,457Professionalmedian $380 · 10th to 90th $257 to $933
$50.0$200.0$1.0K$5.0K$20.0Kfacility $3,715professional $380

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
$346.74
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$741.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,481.54
Typical High
$17,782.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$602.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$645.65
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$549.54

Where Utah 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 feeUtah $4,096 · 15th 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.