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Cleft Palate Repair Surgery

Wyoming 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.

Rates data updated October 2026.

How much does Cleft Palate Repair Surgery cost?

$9,194

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $9,194 for this procedure. That total is two separate charges: $2,884 to the doctor who performs it, and $6,310 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,884$1,738 to $3,715
Facility feeThe hospital or surgery center$6,310$6,310 to $6,457

How much rates vary

Facilitymedian $6,310 · 10th to 90th $4,898 to $7,586Professionalmedian $2,884 · 10th to 90th $1,096 to $4,467
$1K$2K$5K$10Kfacility $6,310professional $2,884

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,318.26
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$2,041.74
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$5,128.61
Typical High
$17,782.79
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$3,019.95

Where Wyoming sits

The same service costs 3.6 times more in Oklahoma than in Montana. 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.

Physician feeFacility fee

Wyoming· 5th of 51

$9,194

$2,884 physician + $6,310 facility

OK $10,573MT $2,925

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.