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Cleft Lip Repair, One Side, First Operation

North Dakota 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?

$1,995

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $1,318 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$1,995$1,000 to $2,399
FacilityA hospital or hospital-owned outpatient department$1,318$1,000 to $6,310

How much rates vary

Facilitymedian $1,318 · 10th to 90th $933 to $10,000Professionalmedian $1,995 · 10th to 90th $933 to $3,631
$1K$2K$5K$10Kfacility $1,318professional $1,995

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
$1,000.00
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,041.74
Typical High
$3,090.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,819.70
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,511.89

Where North Dakota 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.

North Dakota· 17th of 51

$1,995

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.