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Cleft Lip Repair, Both Sides, First Stage

Iowa 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?

$2,291

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $5,012 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$1,660$1,148 to $2,630
FacilityA hospital or hospital-owned outpatient department$5,012$3,467 to $7,943

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,660 to $13,183Professionalmedian $1,660 · 10th to 90th $912 to $6,166
$1K$2K$5K$10Kfacility $5,012professional $1,660

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
$1,659.59
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,884.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$4,168.69
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,621.81
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$2,187.76

Where Iowa 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.

Iowa· 8th of 51

$2,291

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.