go back

Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

South Carolina 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?

$1,413

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $12,023 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 6 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$1,413$1,148 to $1,413
FacilityA hospital or hospital-owned outpatient department$12,023$5,623 to $17,783

How much rates vary

Facilitymedian $12,023 · 10th to 90th $1,413 to $21,878Professionalmedian $1,413 · 10th to 90th $1,047 to $1,905
$50$200$1K$5K$20Kfacility $12,023professional $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. 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
$12,882.50
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$11,481.54
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,995.26

Where South Carolina sits

The same service costs 5.5 times more in California than in West Virginia. 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.

South Carolina· 47th of 51

$1,413

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.