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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

South Dakota 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?

$1,995

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $1,995 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 7 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$1,995$1,122 to $2,570
FacilityA hospital or hospital-owned outpatient department$1,995$1,660 to $4,365

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,202 to $6,918Professionalmedian $1,995 · 10th to 90th $1,000 to $3,388
$1K$2K$5K$10Kfacility $1,995professional $1,995

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
$1,202.26
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,754.23
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,238.72
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,137.96
Typical High
$3,311.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,344.23
Typical High
$2,691.53

Where South Dakota 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 Dakota· 26th of 51

$1,995

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.