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Palate Lengthening With Pharyngeal Flap

Nebraska 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?

$1,318

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $7,943 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 6 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$933 to $1,698
FacilityA hospital or hospital-owned outpatient department$7,943$5,754 to $13,183

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,288 to $15,488Professionalmedian $1,047 · 10th to 90th $851 to $2,630
$1K$2K$5K$10K$20Kfacility $7,943professional $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
$7,079.46
Median
$8,511.38
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$2,630.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,488.17
Typical High
$30,199.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,737.80
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$9,120.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,918.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$2,238.72

Where Nebraska 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.

Nebraska· 14th of 51

$1,318

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.