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Cleft Lip Repair, One Side, First Operation

Oregon 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?

$1,820

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $1,995 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$1,738$1,202 to $2,512
FacilityA hospital or hospital-owned outpatient department$1,995$1,660 to $2,570

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,175 to $18,197Professionalmedian $1,738 · 10th to 90th $871 to $3,162
$100$500$2K$10Kfacility $1,995professional $1,738

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
$2,511.89
Median
$7,943.28
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,819.70
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,187.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$2,570.40
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$2,511.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,819.70
Typical High
$2,754.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$19,054.61
Typical High
$23,442.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$17,378.01
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$2,884.03

Where Oregon 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.

Oregon· 21st of 51

$1,820

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.