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Cleft Lip Repair, One Side, First Operation

New Mexico 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 Mexico, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $7,586 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$1,445$1,072 to $1,549
FacilityA hospital or hospital-owned outpatient department$7,586$2,089 to $15,488

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,148 to $22,387Professionalmedian $1,445 · 10th to 90th $933 to $5,495
$50$200$1K$5K$20Kfacility $7,586professional $1,445

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
$1,412.54
Median
$3,311.31
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,445.44
Typical High
$5,495.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$15,488.17
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$1,778.28

Where New Mexico 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 Mexico· 35th 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.