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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Maine 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 October 2026.

How much does Repair Of A Cleft Lip Affecting Both Sides, Single Surgery cost?

$1,549

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $2,512 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,549$1,380 to $1,862
FacilityA hospital or hospital-owned outpatient department$2,512$2,344 to $4,074

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,585 to $5,754Professionalmedian $1,549 · 10th to 90th $1,175 to $2,344
$1K$2K$5Kfacility $2,512professional $1,549

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$4,073.80
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$2,630.27
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$5,754.40
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,344.23
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,344.23

Where Maine sits

The same service costs 5.5 times more in Alaska than in Texas. 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.

Maine· 32nd of 51

$1,549

AK $4,786TX $871

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.