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Cleft Lip Repair, Both Sides, First Stage

Nationwide rates for HCPCS 40702

Repairs a cleft, or gap, running through both sides of the upper lip in a child, bringing the separated tissue and muscle together and shaping a natural lip border. This is planned as the first of two operations, with the second completing the repair later. It is the child's first repair of the lip rather than a revision of earlier surgery.

Rates data updated July 2026.

How much does Cleft Lip Repair, Both Sides, First Stage cost?

$1,862

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $6,026 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 66 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$1,175$977 to $1,862
FacilityA hospital or hospital-owned outpatient department$6,026$2,754 to $10,233

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,202 to $14,791Professionalmedian $1,175 · 10th to 90th $851 to $3,236
$200$500$1K$2K$5K$10K$20Kfacility $6,026professional $1,175

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
$1,071.52
Median
$4,168.69
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$3,630.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$9,332.54
Typical High
$17,782.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,348.96
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$7,079.46
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$2,290.87

What it costs in each state

The same service costs 6.6 times more in California than in West Virginia. 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.

Touch or drag across the chart to see any state's rate.

CA $6,457WV $977

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.