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Palate Lengthening With Pharyngeal Flap

New Hampshire 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?

$1,413

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $5,495 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$1,380$1,047 to $1,862
FacilityA hospital or hospital-owned outpatient department$5,495$3,388 to $9,120

How much rates vary

Facilitymedian $5,495 · 10th to 90th $575 to $15,849Professionalmedian $1,380 · 10th to 90th $891 to $2,239
$100$200$500$1K$2K$5K$10Kfacility $5,495professional $1,380

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
$100.00
Median
$3,388.44
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,819.70
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,348.96
Typical High
$2,238.72
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,570.88
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,570.88
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$2,951.21
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$1,122.02

Where New Hampshire 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.

New Hampshire· 10th of 51

$1,413

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.