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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Rhode Island 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?

$1,479

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,479 for this service. Most negotiated rates run $1,413 to $1,995.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $3,548 to $13,183Professionalmedian $1,413 · 10th to 90th $1,047 to $2,042
$1.0K$2.0K$5.0K$10.0Kfacility $6,026professional $1,413

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. 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
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,413.10
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$2,511.89

Where Rhode Island 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.

Rhode Island $1,479 · 41st 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.