go back

Cleft Palate Repair Surgery

Oregon rates for HCPCS 42200

This surgery repairs a cleft palate, a birth condition in which the roof of the mouth did not fully join together during development, leaving a gap between the mouth and nasal cavity. The surgeon closes the opening in the soft palate, hard palate, or both, restoring a continuous roof of the mouth to support normal speech, feeding, and swallowing. It's typically performed on infants or young children born with this condition.

Facilitymedian $1,660 · 10th–90th $933$4,8980%20%10th90th$1,660Professionalmedian $1,479 · 10th–90th $851$2,9510%10%20%10th90th$1,479$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,398.83
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,659.59
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$2,238.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,621.81
Typical High
$2,398.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,737.80
Typical High
$1,862.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$2,187.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,819.70
Typical High
$2,511.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$19,054.61
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$17,782.79
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$2,570.40