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Palate Lengthening With Pharyngeal Flap

Utah 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?

$1,230

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $6,026 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 7 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$1,230$933 to $1,549
FacilityA hospital or hospital-owned outpatient department$6,026$3,388 to $8,511

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,230 to $11,220Professionalmedian $1,230 · 10th to 90th $832 to $2,630
$50$200$1K$5Kfacility $6,026professional $1,230

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
$1,230.27
Median
$4,570.88
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,148.15
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,089.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,481.54
Typical High
$17,782.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$1,819.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,479.11
Typical High
$1,737.80
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,318.26
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,621.81

Where Utah 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.

Utah· 19th of 51

$1,230

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.