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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Idaho 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?

$2,042

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $4,898 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 8 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$1,862$1,660 to $2,291
FacilityA hospital or hospital-owned outpatient department$4,898$2,951 to $11,220

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,380 to $15,136Professionalmedian $1,862 · 10th to 90th $1,259 to $3,467
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,898professional $1,862

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
$4,466.84
Median
$4,786.30
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$3,467.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$2,089.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,737.80
Typical High
$3,548.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,905.46
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$2,511.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$7,762.47
Typical High
$12,589.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$2,290.87

Where Idaho 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.

Idaho $2,042 · 23rd 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.