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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Texas 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?

$2,089

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $4,898 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 11 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$1,259$1,175 to $1,738
FacilityA hospital or hospital-owned outpatient department$4,898$2,188 to $8,710

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,259 to $15,136Professionalmedian $1,259 · 10th to 90th $1,096 to $2,754
$100.0$1.0K$10.0Kfacility $4,898professional $1,259

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
$1,202.26
Median
$3,890.45
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,762.47
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,548.82
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,495.41
Typical High
$10,715.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,290.87
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$33,884.42
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$2,089.30
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,025.60
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,819.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,445.44

Where Texas 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.

Texas $2,089 · 21st 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.