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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Indiana 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?

$2,455

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $15,136 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 5 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$1,259$1,148 to $1,549
FacilityA hospital or hospital-owned outpatient department$15,136$8,318 to $21,878

How much rates vary

Facilitymedian $15,136 · 10th to 90th $2,754 to $25,704Professionalmedian $1,259 · 10th to 90th $1,023 to $2,089
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $15,136professional $1,259

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
$1,288.25
Median
$4,897.79
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,174.90
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$15,488.17
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$2,398.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,380.38
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$2,344.23

Where Indiana 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.

Indiana $2,455 · 12th 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.