go back

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.

Facilitymedian $3,802 · 10th–90th $1,230$13,4900%5%10th90th$3,802Professionalmedian $1,622 · 10th–90th $1,096$2,9510%20%10th90th$1,622$50.0$200.0$1.0K$5.0K$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
$1,230.27
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