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Full-Thickness Lip Repair, Larger or Complex

Washington, DC rates for HCPCS 40654

Surgical repair of a wound or defect that passes all the way through the lip, involving the skin, the muscle inside, and the lining. The layers are rebuilt individually so the lip closes, seals, and moves normally, with careful alignment of the border between lip and skin. This is the version for repairs covering more than half the height of the lip, or ones complicated enough to need extra reconstruction.

Rates data updated July 2026.

How much does Full-Thickness Lip Repair, Larger or Complex cost?

$562

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

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $490 to $708.

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 $501 to $7,762Professionalmedian $513 · 10th to 90th $398 to $708
$200$500$1K$2K$5K$10K$20Kfacility $3,981professional $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
$501.19
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$707.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$1,202.26

Where Washington, DC sits

The same service costs 3.5 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.

Washington, DC· 50th of 51

$562

CA $1,778WV $513

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.