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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Maryland 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?

$1,413

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,230 to $2,570.

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.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,230 to $6,607Professionalmedian $1,413 · 10th to 90th $1,122 to $3,802
$1K$2K$5K$10Kfacility $6,607professional $1,413

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$3,801.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,884.03
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,454.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,698.24

Where Maryland 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.

Maryland· 44th of 51

$1,413

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.