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Repair Of A Tear In The Roof Of The Mouth

Vermont 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?

$324

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $288 to $363.

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.

How much rates vary

Professionalmedian $324 · 10th to 90th $275 to $407
$500professional $324

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
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$575.44
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$691.83

Where Vermont sits

The same service costs 2.2 times more in Minnesota 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.

Vermont· 44th of 51

$324

MN $676WV $302

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.