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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

West 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 October 2026.

How much does Repair Of A Cleft Lip Affecting Both Sides, Single Surgery cost?

$1,585

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $3,162 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$1,175 to $2,138
FacilityA hospital or hospital-owned outpatient department$3,162$2,138 to $3,631

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,698 to $8,128Professionalmedian $1,479 · 10th to 90th $955 to $2,884
$1K$2K$5K$10Kfacility $3,162professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,348.96
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$3,090.30
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$7,244.36
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$16,595.87
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,380.38
Typical High
$2,691.53

Where West Virginia sits

The same service costs 5.5 times more in Alaska than in Texas. 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.

West Virginia· 28th of 51

$1,585

AK $4,786TX $871

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.