go back

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.

Facilitymedian $4,571 · 10th–90th $1,820$10,7150%5%10%10th90th$4,571Professionalmedian $1,514 · 10th–90th $1,072$3,8020%10%20%10th90th$1,514$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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