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Palate Lengthening With Pharyngeal Flap

Iowa 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?

$1,514

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $5,248 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$1,318$933 to $1,950
FacilityA hospital or hospital-owned outpatient department$5,248$1,995 to $7,943

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,230 to $12,589Professionalmedian $1,318 · 10th to 90th $851 to $5,129
$1K$2K$5K$10Kfacility $5,248professional $1,318

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
$1,513.56
Median
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$2,137.96
Typical High
$2,691.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,621.81
Typical High
$5,754.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,995.26
Typical High
$14,454.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,737.80
Typical High
$9,120.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,511.89
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$9,120.11
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,041.74

Where Iowa 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.

Iowa· 7th of 51

$1,514

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.