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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Washington, DC 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?

$1,413

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,175 to $3,236.

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.

How much rates vary

Facilitymedian $7,762 · 10th to 90th $1,413 to $10,233Professionalmedian $1,259 · 10th to 90th $1,122 to $1,413
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,762professional $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
$1,412.54
Median
$7,244.36
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,412.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,511.89

Where Washington, DC 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.

Washington, DC $1,413 · 45th 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.