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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Florida 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 negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $8,318 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$1,175$1,047 to $1,349
FacilityA hospital or hospital-owned outpatient department$8,318$3,236 to $12,589

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,230 to $16,982Professionalmedian $1,175 · 10th to 90th $912 to $1,950
$100.0$1.0K$10.0Kfacility $8,318professional $1,175

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
$1,174.90
Median
$6,606.93
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,949.84
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,466.84
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,884.03
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,290.87
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$831.76
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$891.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$10,000.00
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$2,137.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,230.27

Where Florida 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.

Florida $1,413 · 46th 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.