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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 October 2026.

How much does Repair Of A Cleft Lip Affecting Both Sides, Single Surgery cost?

$1,905

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $5,129 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$1,698$1,259 to $1,995
FacilityA hospital or hospital-owned outpatient department$5,129$2,344 to $12,882

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,349 to $20,893Professionalmedian $1,698 · 10th to 90th $1,023 to $2,138
$50$200$1K$5K$20Kfacility $5,129professional $1,698

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
$1,000.00
Median
$2,089.30
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$1,737.80
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$15,488.17
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$3,467.37
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$338.84
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$3,467.37
Typical High
$6,165.95
Providence
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,187.76
United
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$4,786.30
Typical High
$12,882.50
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$2,089.30

Where New Mexico 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 Mexico· 23rd of 51

$1,905

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.