go back

Palate Lengthening With Pharyngeal Flap

South Carolina 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?

$1,072

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $3,311 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$891 to $1,288
FacilityA hospital or hospital-owned outpatient department$3,311$1,175 to $12,882

How much rates vary

Facilitymedian $3,311 · 10th to 90th $977 to $20,417Professionalmedian $1,047 · 10th to 90th $832 to $1,820
$50$200$1K$5K$20Kfacility $3,311professional $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
$1,071.52
Median
$12,022.64
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$10,471.29
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,445.44
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,047.13
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$16,218.10
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,778.28

Where South Carolina 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.

South Carolina· 33rd of 51

$1,072

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.