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Cleft Lip Repair, One Side, First Operation

Alabama rates for HCPCS 40700

Reconstructive surgery to close a cleft in the lip on one side and reshape the nostril distorted by it. The surgeon brings the separated skin, muscle, and lining together so the lip forms a continuous border and the muscle works as a single unit. It is the first definitive repair rather than a later revision.

Rates data updated July 2026.

How much does Cleft Lip Repair, One Side, First Operation cost?

$1,778

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $3,715 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 4 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$1,175$1,000 to $2,042
FacilityA hospital or hospital-owned outpatient department$3,715$1,862 to $4,677

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,259 to $5,888Professionalmedian $1,175 · 10th to 90th $851 to $2,042
$1K$2K$5K$10Kfacility $3,715professional $1,175

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
$1,096.48
Median
$1,778.28
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,380.38

Where Alabama sits

The same service costs 5.5 times more in Hawaii 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.

Alabama· 23rd of 51

$1,778

HI $5,495WV $1,000

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.