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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 July 2026.

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

$2,042

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $2,042 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$2,042$1,259 to $2,884
FacilityA hospital or hospital-owned outpatient department$2,042$2,042 to $2,188

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,862 to $16,596Professionalmedian $2,042 · 10th to 90th $1,047 to $6,457
$100.0$1.0K$10.0K$100.0Kfacility $2,042professional $2,042

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
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,862.09
Typical High
$2,041.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,454.71
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,454.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,258.93
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$2,238.72

Where Montana sits

The same service costs 5.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $2,042 · 22nd of 51
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.