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Cleft Lip Repair, One Side, First Operation

Connecticut 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?

$2,455

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $10,471 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 5 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$1,585$1,202 to $2,884
FacilityA hospital or hospital-owned outpatient department$10,471$7,943 to $15,136

How much rates vary

Facilitymedian $10,471 · 10th to 90th $4,898 to $16,596Professionalmedian $1,585 · 10th to 90th $1,047 to $3,890
$1K$2K$5K$10K$20Kfacility $10,471professional $1,585

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
$4,897.79
Median
$9,772.37
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,949.84
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,691.53
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,584.89
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$2,630.27

Where Connecticut 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.

Connecticut· 10th of 51

$2,455

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.