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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Massachusetts 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?

$1,950

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $3,890 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$1,585$1,202 to $2,570
FacilityA hospital or hospital-owned outpatient department$3,890$3,090 to $5,888

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,413 to $9,550Professionalmedian $1,585 · 10th to 90th $1,096 to $3,311
$100.0$1.0K$10.0Kfacility $3,890professional $1,585

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
$2,691.53
Median
$3,715.35
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$3,235.94
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$7,244.36
Typical High
$33,884.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$3,235.94
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,819.70
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,949.84
Typical High
$3,235.94
Health New England
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$7,244.36
Typical High
$33,884.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$3,890.45

Where Massachusetts 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.

Massachusetts $1,950 · 28th 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.