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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 October 2026.

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

$1,479

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $2,818 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$200 to $1,585
FacilityA hospital or hospital-owned outpatient department$2,818$2,455 to $3,548

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,188 to $8,511Professionalmedian $1,479 · 10th to 90th $30 to $2,089
$50$200$1K$5Kfacility $2,818professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,162.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,479.11
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$1,445.44
Typical High
$10,964.78

Where Hawaii sits

The same service costs 5.5 times more in Alaska than in Texas. 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· 36th of 51

$1,479

AK $4,786TX $871

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.