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Cleft Lip Repair, One Side, First Operation

Louisiana 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 Louisiana, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $3,467 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$1,413$1,072 to $1,549
FacilityA hospital or hospital-owned outpatient department$3,467$1,862 to $6,607

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,202 to $9,333Professionalmedian $1,413 · 10th to 90th $871 to $1,950
$1K$2K$5K$10Kfacility $3,467professional $1,413

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
$1,122.02
Median
$3,388.44
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$8,709.64
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$1,621.81
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,148.15
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,165.95
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,778.28

Where Louisiana 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.

Louisiana· 30th 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.