go back

Cleft Lip Repair, One Side, First Operation

Arkansas 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?

$1,380

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,344 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$955 to $1,259
FacilityA hospital or hospital-owned outpatient department$2,344$1,820 to $5,370

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,202 to $6,918Professionalmedian $1,175 · 10th to 90th $912 to $2,344
$1K$2K$5K$10Kfacility $2,344professional $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
$1,174.90
Median
$1,862.09
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,168.69
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,737.80

Where Arkansas 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.

Arkansas· 38th of 51

$1,380

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.