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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Colorado 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?

$3,311

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $9,333 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 7 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$1,259$1,202 to $1,660
FacilityA hospital or hospital-owned outpatient department$9,333$5,370 to $12,023

How much rates vary

Facilitymedian $9,333 · 10th to 90th $2,291 to $17,378Professionalmedian $1,259 · 10th to 90th $1,122 to $2,455
$1K$2K$5K$10K$20Kfacility $9,333professional $1,259

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
$1,202.26
Median
$5,495.41
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$2,454.71
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,041.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,659.59
Typical High
$4,570.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,995.26
Typical High
$2,238.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$2,511.89

Where Colorado sits

The same service costs 5.5 times more in California 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.

Colorado· 6th of 51

$3,311

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.