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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Hawaii 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?

$5,623

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,692 to $10,233.

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 $8,511 · 10th to 90th $2,570 to $8,511Professionalmedian $5,623 · 10th to 90th $1,202 to $11,482
$50$200$1K$5Kfacility $8,511professional $5,623

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
$2,570.40
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,621.81
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$6,456.54
Typical High
$11,481.54

Where Hawaii 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.

Hawaii· 2nd of 51

$5,623

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.