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Cleft Lip Repair, One Side, First Operation

New Hampshire 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?

$1,514

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $5,623 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$1,380$1,047 to $2,089
FacilityA hospital or hospital-owned outpatient department$5,623$3,311 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,399 to $22,387Professionalmedian $1,380 · 10th to 90th $977 to $2,818
$100$500$2K$10Kfacility $5,623professional $1,380

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
$100.00
Median
$3,311.31
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,047.13
Typical High
$2,041.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,905.46
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,445.44
Typical High
$2,570.40
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$3,715.35

Where New Hampshire 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.

New Hampshire· 34th of 51

$1,514

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.