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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Arizona rates for HCPCS 40701

This surgery repairs a cleft lip that affects both sides of the upper lip, correcting the separation and reshaping the lip and nose in one operation. It restores a more typical lip shape and function, and is usually performed on an infant. Repairing both sides together in a single procedure is chosen when the cleft on each side allows it.

Rates data updated July 2026.

How much does Repair Of A Cleft Lip Affecting Both Sides, Single Surgery cost?

$1,995

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $5,370 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$1,413$1,096 to $1,995
FacilityA hospital or hospital-owned outpatient department$5,370$3,715 to $7,079

How much rates vary

Facilitymedian $5,370 · 10th to 90th $2,042 to $9,772Professionalmedian $1,413 · 10th to 90th $1,047 to $4,467
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,370professional $1,413

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
$2,238.72
Median
$5,623.41
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$4,466.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,623.41
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,623.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,778.28

Where Arizona sits

The same service costs 5.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $1,995 · 27th of 51
CA $6,457WV $1,175

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.