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Palate Lengthening After Cleft Repair

North Carolina rates for HCPCS 42220

A follow-up surgery to lengthen the roof of the mouth after an earlier repair of a cleft palate, a birth difference in which the roof of the mouth does not fully close. It is performed to improve function such as speech or swallowing when the palate is too short after the original repair.

Rates data updated July 2026.

How much does Palate Lengthening After Cleft Repair cost?

$794

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $933 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$794$661 to $1,175
FacilityA hospital or hospital-owned outpatient department$933$661 to $5,754

How much rates vary

Facilitymedian $933 · 10th to 90th $562 to $11,482Professionalmedian $794 · 10th to 90th $562 to $1,698
$500$1K$2K$5K$10Kfacility $933professional $794

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
$831.76
Median
$8,709.64
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,235.94
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,467.37
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,412.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,548.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$7,762.47
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$1,096.48
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$42,657.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51

Where North Carolina sits

The same service costs 3.4 times more in California 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.

North Carolina· 19th of 51

$794

CA $1,905WV $562

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.