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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

New Hampshire 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?

$2,399

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $5,012 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$2,042$1,622 to $2,818
FacilityA hospital or hospital-owned outpatient department$5,012$2,754 to $5,888

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,344 to $9,120Professionalmedian $2,042 · 10th to 90th $1,175 to $4,365
$1K$2K$5K$10K$20Kfacility $5,012professional $2,042

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$5,370.32
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$2,398.83
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,248.07
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$3,548.13
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$2,137.96
Typical High
$4,365.16
United
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$3,548.13
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$4,365.16
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46

Where New Hampshire 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.

New Hampshire· 11th of 51

$2,399

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.