go back

Palate Lengthening With Pharyngeal Flap

Mississippi 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 Mississippi, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,995 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$1,047$871 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,995$977 to $4,365

How much rates vary

Facilitymedian $1,995 · 10th to 90th $832 to $7,943Professionalmedian $1,047 · 10th to 90th $832 to $2,399
$50$200$1K$5Kfacility $1,995professional $1,047

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
$776.25
Median
$933.25
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,630.27
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,168.69
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$2,290.87

Where Mississippi 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.

Mississippi· 29th 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.