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Palate Lengthening After Cleft Repair

Rhode Island 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?

$676

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $5,370 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 4 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$676$562 to $676
FacilityA hospital or hospital-owned outpatient department$5,370$3,548 to $8,710

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,288 to $13,183Professionalmedian $676 · 10th to 90th $537 to $832
$500$1K$2K$5K$10Kfacility $5,370professional $676

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
$3,467.37
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$7,244.36
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,258.93

Where Rhode Island 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.

Rhode Island· 33rd of 51

$676

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.