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Palate Lengthening With Pharyngeal Flap

Colorado 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?

$1,202

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $6,761 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$1,000$891 to $1,288
FacilityA hospital or hospital-owned outpatient department$6,761$1,862 to $11,749

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,072 to $17,378Professionalmedian $1,000 · 10th to 90th $851 to $1,820
$1K$2K$5K$10K$20Kfacility $6,761professional $1,000

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
$2,754.23
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,778.28
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$5,888.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$1,819.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$11,481.54
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$1,905.46

Where Colorado 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.

Colorado· 21st of 51

$1,202

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.