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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

New Jersey 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 $9,550 · 10th–90th $4,467$14,4540%10%10th90th$9,550Professionalmedian $1,230 · 10th–90th $1,000$6,7610%10%20%10th90th$1,230$200.0$500.0$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
$4,466.84
Median
$9,332.54
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$2,951.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$1,698.24
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$18,197.01
Typical High
$30,199.52
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$2,570.40