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Full-Thickness Lip Repair, Up to Half the Lip

New York rates for HCPCS 40652

Surgical repair of a wound or defect that passes all the way through the lip, involving the skin, the muscle inside, and the lining. Each layer is stitched separately so the lip closes, seals, and moves normally, with the border between lip and skin lined up carefully. This is the version for repairs covering up to half the height of the lip.

Rates data updated July 2026.

How much does Full-Thickness Lip Repair, Up to Half the Lip cost?

$3,980

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $3,980 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $3,467 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$407 to $708
Facility feeThe hospital or surgery center$3,467$1,660 to $5,012

How much rates vary

Facilitymedian $3,467 · 10th to 90th $537 to $7,762Professionalmedian $513 · 10th to 90th $355 to $1,288
$100.0$1.0K$10.0Kfacility $3,467professional $513

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
$457.09
Median
$3,162.28
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$1,202.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$616.60
Typical High
$1,348.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$1,412.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,174.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$954.99
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,454.71
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$1,258.93
Univera
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$1,380.38
Univera
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,288.25

Where New York sits

The same service costs 8.2 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew York $3,980 · 12th of 51
CA $7,604WV $926

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.