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Cleft Lip Repair, One Side, First Operation

Maine 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?

$1,230

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,122 to $1,479.

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.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $12,023 to $12,023Professionalmedian $1,230 · 10th to 90th $955 to $1,995
$1K$2K$5K$10Kfacility $12,023professional $1,230

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$2,290.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$1,995.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$1,995.26

Where Maine 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.

Maine· 45th of 51

$1,230

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.