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Cleft Lip Repair, One Side, First Operation

Kansas 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?

$1,698

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $5,129 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 5 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$1,202$1,047 to $1,479
FacilityA hospital or hospital-owned outpatient department$5,129$3,467 to $8,511

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,778 to $11,482Professionalmedian $1,202 · 10th to 90th $912 to $1,698
$1K$2K$5K$10Kfacility $5,129professional $1,202

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
$2,187.76
Median
$5,623.41
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,467.37
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,238.72
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,466.84
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,778.28

Where Kansas 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.

Kansas· 28th of 51

$1,698

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.