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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Virginia 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?

$1,585

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $5,888 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 8 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$1,230 to $1,950
FacilityA hospital or hospital-owned outpatient department$5,888$1,738 to $9,333

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,318 to $15,488Professionalmedian $1,413 · 10th to 90th $1,148 to $6,166
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,888professional $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
$6,456.54
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$2,137.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$5,623.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,344.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,344.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,584.89
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,584.89
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$2,187.76

Where Virginia 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.

Virginia $1,585 · 36th 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.