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Palate Lengthening With Pharyngeal Flap

Oregon 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?

$1,622

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,698 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 8 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$1,622$1,259 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,698$1,202 to $1,820

How much rates vary

Facilitymedian $1,698 · 10th to 90th $912 to $2,884Professionalmedian $1,622 · 10th to 90th $912 to $2,570
$100$500$2K$10Kfacility $1,698professional $1,622

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
$2,290.87
Median
$7,943.28
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,698.24
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$2,137.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$2,238.72
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$2,187.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,778.28
Typical High
$2,454.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$19,054.61
Typical High
$23,442.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,089.30
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$16,218.10
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$2,454.71

Where Oregon 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.

Oregon· 6th of 51

$1,622

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.