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Cleft Lip Repair, One Side, First Operation

Illinois 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?

$1,622

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $3,890 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 6 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$1,349$1,000 to $1,778
FacilityA hospital or hospital-owned outpatient department$3,890$1,905 to $7,586

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,148 to $14,125Professionalmedian $1,349 · 10th to 90th $933 to $2,630
$500$1K$2K$5K$10K$20Kfacility $3,890professional $1,349

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
$1,047.13
Median
$3,235.94
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,709.64
Typical High
$19,054.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,995.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$4,570.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,370.32
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$2,238.72

Where Illinois 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.

Illinois· 31st of 51

$1,622

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.