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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Montana 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?

$1,820

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $1,862 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,698$1,202 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,862$1,820 to $2,138

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,698 to $4,898Professionalmedian $1,698 · 10th to 90th $79 to $1,995
$100$200$500$1K$2K$5K$10Kfacility $1,862professional $1,698

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$4,897.79
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,819.70
Typical High
$2,089.30
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,819.70
Typical High
$1,949.84
Providence
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$4,897.79
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,621.81
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,949.84
Typical High
$2,238.72

Where Montana 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.

Montana· 24th of 51

$1,820

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.