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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 July 2026.

Facilitymedian $10,471 · 10th–90th $4,365$18,1970%10%10th90th$10,471Professionalmedian $1,905 · 10th–90th $1,072$6,4570%10%10th90th$1,905$1.0K$2.0K$5.0K$10.0K$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
$7,244.36
Median
$11,481.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,488.17
Typical High
$30,199.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,778.28
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,187.76
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,918.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$2,951.21