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Cleft Lip Repair, One Side, First Operation

Washington, DC 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?

$1,202

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

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,047 to $4,074.

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 $7,762 · 10th to 90th $1,202 to $10,233Professionalmedian $1,072 · 10th to 90th $955 to $1,202
$1K$2K$5K$10K$20Kfacility $7,762professional $1,072

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
$1,202.26
Median
$7,762.47
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,202.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$2,137.96

Where Washington, DC 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.

Washington, DC· 47th of 51

$1,202

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.