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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Tennessee 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?

$1,820

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $4,571 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 5 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$1,514$1,175 to $1,950
FacilityA hospital or hospital-owned outpatient department$4,571$2,512 to $7,762

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,820 to $10,715Professionalmedian $1,514 · 10th to 90th $1,072 to $3,802
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,571professional $1,514

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
$1,380.38
Median
$3,235.94
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,818.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$2,511.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$33,884.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$10,232.93
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$2,290.87

Where Tennessee 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.

Tennessee $1,820 · 32nd 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.