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Cleft Lip Repair, One Side, First Operation

Missouri 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?

$2,512

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $4,898 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$1,230$1,047 to $2,455
FacilityA hospital or hospital-owned outpatient department$4,898$3,162 to $7,244

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,778 to $10,000Professionalmedian $1,230 · 10th to 90th $933 to $4,571
$1K$2K$5K$10Kfacility $4,898professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,128.61
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,230.27
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,754.23
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,677.35
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,454.71

Where Missouri 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.

Missouri· 8th of 51

$2,512

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.