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Cleft Lip Repair, One Side, First Operation

Nebraska 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?

$2,089

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $10,471 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$1,820$1,202 to $2,138
FacilityA hospital or hospital-owned outpatient department$10,471$7,943 to $14,454

How much rates vary

Facilitymedian $10,471 · 10th to 90th $4,365 to $18,197Professionalmedian $1,820 · 10th to 90th $912 to $5,495
$1K$2K$5K$10K$20Kfacility $10,471professional $1,820

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
$7,244.36
Median
$11,481.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,819.70
Typical High
$5,495.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,488.17
Typical High
$30,199.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,513.56
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,089.30
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$10,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$6,918.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$2,570.40

Where Nebraska 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.

Nebraska· 13th of 51

$2,089

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.