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Palate Lengthening With Pharyngeal Flap

Hawaii 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?

$1,096

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $6,026 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$1,072$912 to $3,715
FacilityA hospital or hospital-owned outpatient department$6,026$2,570 to $6,026

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,738 to $6,026Professionalmedian $1,072 · 10th to 90th $832 to $8,318
$200$500$1K$2K$5K$10Kfacility $6,026professional $1,072

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
$1,862.09
Median
$6,025.60
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,513.56
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$4,677.35
Typical High
$9,332.54

Where Hawaii 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.

Hawaii· 30th of 51

$1,096

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.