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Cleft Lip Repair, Both Sides, First Stage

Connecticut 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?

$1,950

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $7,943 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 5 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$1,380$1,072 to $2,089
FacilityA hospital or hospital-owned outpatient department$7,943$5,248 to $9,550

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,677 to $13,804Professionalmedian $1,380 · 10th to 90th $912 to $3,715
$1K$2K$5K$10Kfacility $7,943professional $1,380

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
$4,570.88
Median
$7,079.46
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$2,630.27
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$2,511.89

Where Connecticut sits

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.

Connecticut· 13th of 51

$1,950

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.