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Palate Lengthening With Pharyngeal Flap

Delaware 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?

$977

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $7,244 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 3 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$891 to $1,096
FacilityA hospital or hospital-owned outpatient department$7,244$3,311 to $10,965

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,995 to $10,965Professionalmedian $977 · 10th to 90th $871 to $1,380
$1K$2K$5K$10Kfacility $7,244professional $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
$6,606.93
Median
$10,964.78
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,584.89

Where Delaware 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.

Delaware· 49th of 51

$977

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.