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Palate Lengthening With Pharyngeal Flap

Arizona rates for HCPCS 42226

Surgery that lengthens the soft palate at the back of the roof of the mouth and attaches a flap of tissue connecting it to the back of the throat. It is used to close the gap between the mouth and nose during speech, most often to correct nasal-sounding speech or air escape after a cleft palate repair or other palate problem.

Rates data updated July 2026.

How much does Palate Lengthening With Pharyngeal Flap cost?

$1,023

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $4,571 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 5 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$977$871 to $1,230
FacilityA hospital or hospital-owned outpatient department$4,571$1,905 to $6,457

How much rates vary

Facilitymedian $4,571 · 10th to 90th $955 to $8,128Professionalmedian $977 · 10th to 90th $813 to $1,862
$1K$2K$5K$10Kfacility $4,571professional $977

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
$2,187.76
Median
$4,897.79
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,715.35
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,311.31
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$5,495.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,698.24

Where Arizona sits

The same service costs 2.8 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.

Arizona· 41st of 51

$1,023

CA $2,512WV $891

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.