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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Illinois 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?

$1,862

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $3,802 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 6 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$1,622$1,175 to $2,042
FacilityA hospital or hospital-owned outpatient department$3,802$1,862 to $7,586

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,230 to $13,490Professionalmedian $1,622 · 10th to 90th $1,096 to $2,951
$500$1K$2K$5K$10K$20Kfacility $3,802professional $1,622

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
$1,230.27
Median
$3,235.94
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$8,912.51
Typical High
$22,387.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$2,344.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$5,011.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,513.56
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,370.32
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$2,630.27

Where Illinois 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.

Illinois· 30th of 51

$1,862

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.