go back

Cleft Lip Repair, Both Sides, First Stage

Florida 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?

$1,122

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $7,079 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 7 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$955$851 to $1,122
FacilityA hospital or hospital-owned outpatient department$7,079$2,630 to $10,965

How much rates vary

Facilitymedian $7,079 · 10th to 90th $1,000 to $14,454Professionalmedian $955 · 10th to 90th $692 to $1,660
$50$200$1K$5K$20Kfacility $7,079professional $955

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
$933.25
Median
$4,897.79
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,862.09
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$6,165.95
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,884.03
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,862.09
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$758.58
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$10,000.00
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,778.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,023.29

Where Florida 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.

Florida· 45th of 51

$1,122

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.