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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Nebraska 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?

$2,818

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $4,571 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$2,630$2,188 to $2,951
FacilityA hospital or hospital-owned outpatient department$4,571$2,455 to $8,710

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,622 to $16,596Professionalmedian $2,630 · 10th to 90th $1,698 to $4,677
$1K$2K$5K$10K$20Kfacility $4,571professional $2,630

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
Facility
Modifier
None
Typical Low
$5,495.41
Median
$9,549.93
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,187.76
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$15,848.93
Typical High
$32,359.37
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,265.80
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$4,073.80
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,951.21
Typical High
$16,595.87
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,754.23
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$3,630.78
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$4,168.69
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$3,630.78
United
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,019.95
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$2,951.21

Where Nebraska 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.

Nebraska· 5th of 51

$2,818

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.