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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

New York 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.

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

$2,344

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $6,310 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$1,148 to $1,905
FacilityA hospital or hospital-owned outpatient department$6,310$3,631 to $9,772

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,622 to $13,183Professionalmedian $1,259 · 10th to 90th $1,023 to $3,548
$100.0$1.0K$10.0Kfacility $6,310professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,248.07
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$2,691.53
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,467.37
Typical High
$13,489.63
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,698.24
Typical High
$4,466.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,691.53
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$2,187.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$23,442.29
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,548.82
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$3,630.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$4,466.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,513.56
Typical High
$4,265.80

Where New York sits

The same service costs 5.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $2,344 · 14th of 51
CA $6,457WV $1,175

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.