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Cleft Lip Repair, One Side, First Operation

Nevada 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?

$1,122

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $5,012 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$1,072$1,000 to $1,585
FacilityA hospital or hospital-owned outpatient department$5,012$2,951 to $6,607

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,072 to $8,128Professionalmedian $1,072 · 10th to 90th $912 to $3,715
$50$200$1K$5Kfacility $5,012professional $1,072

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
$1,071.52
Median
$4,786.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,698.24
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$1,047.13
Typical High
$1,513.56
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$2,238.72

Where Nevada 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.

Nevada· 49th of 51

$1,122

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.