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Fitting Of A Pin-Retained Palate Plate

Washington, DC rates for HCPCS 42281

A custom-made plate for the roof of the mouth is put in place and held with small pins so it stays firmly seated. The plate covers an opening or a missing section of the palate, separating the mouth from the nose so eating and speech work normally. This step is the placement of the finished device.

Rates data updated July 2026.

How much does Fitting Of A Pin-Retained Palate Plate cost?

$214

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $178 to $263.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $191 to $7,762Professionalmedian $195 · 10th to 90th $155 to $275
$100.0$500.0$2.0K$10.0Kfacility $3,981professional $195

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
$190.55
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$275.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$30,902.95
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$457.09

Where Washington, DC sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $214 · 44th of 51
MN $437KY $186

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.