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Cleft Lip Repair, One Side, First Operation

Ohio 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?

$1,905

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $8,318 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 8 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$955 to $1,778
FacilityA hospital or hospital-owned outpatient department$8,318$4,169 to $10,715

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,905 to $13,490Professionalmedian $1,072 · 10th to 90th $832 to $8,913
$50$200$1K$5Kfacility $8,318professional $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
$1,905.46
Median
$9,332.54
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$11,220.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,819.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$2,041.74
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,819.70

Where Ohio 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.

Ohio· 20th of 51

$1,905

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.