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Cleft Lip Repair, One Side, First Operation

Idaho 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?

$1,738

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $5,012 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 8 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$1,288 to $2,042
FacilityA hospital or hospital-owned outpatient department$5,012$2,951 to $11,220

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,175 to $15,136Professionalmedian $1,585 · 10th to 90th $1,000 to $2,884
$1K$2K$5K$10K$20Kfacility $5,012professional $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
$4,466.84
Median
$4,786.30
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,606.93
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$1,778.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,445.44
Typical High
$3,019.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,137.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$7,762.47
Typical High
$12,589.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,949.84

Where Idaho 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.

Idaho· 26th of 51

$1,738

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.