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Cleft Lip Repair, One Side, First Operation

Rhode Island 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?

$1,230

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,023 to $1,585.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $3,548 to $13,183Professionalmedian $1,230 · 10th to 90th $871 to $1,660
$1K$2K$5K$10Kfacility $6,026professional $1,230

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,659.59
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,413.10
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$2,137.96

Where Rhode Island 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.

Rhode Island· 44th of 51

$1,230

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.