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Cleft Lip Repair, Both Sides, First Stage

Washington, DC 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?

$1,175

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $955 to $2,884.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,175 to $7,762Professionalmedian $1,047 · 10th to 90th $851 to $1,175
$1K$2K$5K$10K$20Kfacility $4,074professional $1,047

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
$1,174.90
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,174.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$2,137.96

Where Washington, DC 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.

Washington, DC· 43rd of 51

$1,175

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.