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Cleft Lip Repair, One Side, First Operation

Oklahoma 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?

$3,890

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $6,918 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$1,072$977 to $1,148
FacilityA hospital or hospital-owned outpatient department$6,918$2,291 to $13,183

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,288 to $18,621Professionalmedian $1,072 · 10th to 90th $871 to $1,660
$500$1K$2K$5K$10K$20Kfacility $6,918professional $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
$2,754.23
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$13,489.63
Typical High
$22,908.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,202.26
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,862.09
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,370.32
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,548.82

Where Oklahoma 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.

Oklahoma· 4th of 51

$3,890

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.