go back

Cleft Lip Repair, One Side, First Operation

Iowa 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?

$2,138

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $6,918 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$1,660$1,000 to $2,455
FacilityA hospital or hospital-owned outpatient department$6,918$5,370 to $9,120

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,660 to $13,490Professionalmedian $1,660 · 10th to 90th $871 to $6,166
$1K$2K$5K$10Kfacility $6,918professional $1,660

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
$1,819.70
Median
$6,918.31
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,398.83
Typical High
$2,884.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,168.69
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$2,238.72

Where Iowa 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.

Iowa· 12th of 51

$2,138

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.