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Full-Thickness Lip Repair, Up to Half the Lip

Vermont 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 October 2026.

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

$1,104

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $1,104 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $501 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$501 to $794
Facility feeThe hospital or surgery center$501$501 to $1,660

How much rates vary

Facilitymedian $501 · 10th to 90th $468 to $1,995Professionalmedian $603 · 10th to 90th $407 to $1,072
$500$1K$2Kfacility $501professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$467.74
Typical High
$676.08
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$660.69
Typical High
$794.33
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$724.44
Typical High
$1,096.48

Where Vermont sits

The same service costs 4.2 times more in New York than in Maryland. 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.

Physician feeFacility fee

Vermont· 44th of 51

$1,104

$603 physician + $501 facility

NY $3,159MD $746

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.