go back

Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

New Mexico 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 $7,762 · 10th–90th $1,318$23,4420%5%10th90th$7,762Professionalmedian $1,738 · 10th–90th $1,096$6,4570%10%20%10th90th$1,738$50.0$200.0$1.0K$5.0K$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
$1,659.59
Median
$2,089.30
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$15,488.17
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,089.30