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Cleft Lip Repair, One Side, First Operation

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $8,128 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 7 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$1,000$891 to $1,202
FacilityA hospital or hospital-owned outpatient department$8,128$3,311 to $12,023

How much rates vary

Facilitymedian $8,128 · 10th to 90th $1,445 to $15,136Professionalmedian $1,000 · 10th to 90th $759 to $1,950
$50$200$1K$5K$20Kfacility $8,128professional $1,000

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
$1,230.27
Median
$6,760.83
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$2,511.89
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,466.84
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,884.03
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,905.46
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$758.58
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$10,000.00
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,819.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,047.13

Where Florida 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.

Florida· 39th 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.