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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Minnesota 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 $6,918 · 10th–90th $1,862$18,1970%10%10th90th$6,918Professionalmedian $2,692 · 10th–90th $1,445$4,5710%10%10th90th$2,692$50.0$200.0$1.0K$5.0K$20.0K

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
$1,122.02
Median
$1,122.02
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$13,803.84
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,168.69
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$5,495.41
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$9,120.11
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,238.72
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$9,120.11
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$4,570.88