go back

Cleft Lip Repair, One Side, First Operation

Minnesota 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?

$2,455

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $6,026 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$2,344$1,738 to $3,162
FacilityA hospital or hospital-owned outpatient department$6,026$2,818 to $9,772

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,660 to $17,783Professionalmedian $2,344 · 10th to 90th $1,202 to $3,890
$1K$2K$5K$10K$20Kfacility $6,026professional $2,344

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
$933.25
Median
$6,309.57
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$3,630.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$13,182.57
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$4,677.35
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$7,762.47
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$10,964.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$9,120.11
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,905.46
Typical High
$3,890.45

Where Minnesota 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.

Minnesota· 9th of 51

$2,455

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.