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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Kentucky 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 $5,370 · 10th–90th $1,445$12,3030%10%10th90th$5,370Professionalmedian $1,202 · 10th–90th $933$2,1880%10%10th90th$1,202$50.0$200.0$1.0K$5.0K

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
$851.14
Median
$1,445.44
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,584.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,584.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$7,244.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,677.35
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,089.30