go back

Cleft Lip Repair, Both Sides, First Stage

Idaho 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?

$1,698

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $5,495 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 8 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$1,585$1,380 to $1,905
FacilityA hospital or hospital-owned outpatient department$5,495$2,692 to $11,220

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,175 to $15,136Professionalmedian $1,585 · 10th to 90th $1,047 to $2,884
$1K$2K$5K$10K$20Kfacility $5,495professional $1,585

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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,412.54
Typical High
$1,737.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,445.44
Typical High
$2,951.21
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,862.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$2,137.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$7,762.47
Typical High
$12,589.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$1,905.46

Where Idaho 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.

Idaho· 18th of 51

$1,698

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.