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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Iowa 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.

Facilitymedian $6,918 · 10th–90th $1,995$13,4900%10%20%10th90th$6,918Professionalmedian $1,995 · 10th–90th $1,072$7,2440%10%10th90th$1,995$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,918.31
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,995.26
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,388.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,365.16
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,089.30
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$3,235.94
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,344.23
Typical High
$2,630.27