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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Missouri 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?

$2,818

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $4,898 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 6 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$1,413$1,259 to $2,344
FacilityA hospital or hospital-owned outpatient department$4,898$3,162 to $7,079

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,820 to $10,000Professionalmedian $1,413 · 10th to 90th $1,096 to $4,898
$1K$2K$5K$10Kfacility $4,898professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$6,456.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,445.44
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,884.03
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,778.28
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,677.35
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$2,951.21

Where Missouri 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.

Missouri· 8th of 51

$2,818

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.