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Cleft Lip Repair, Both Sides, First Stage

Kentucky 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?

$1,047

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $2,630 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 6 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$977$871 to $1,230
FacilityA hospital or hospital-owned outpatient department$2,630$955 to $8,913

How much rates vary

Facilitymedian $2,630 · 10th to 90th $631 to $10,715Professionalmedian $977 · 10th to 90th $741 to $1,698
$1K$2K$5K$10Kfacility $2,630professional $977

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
$616.60
Median
$1,230.27
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,258.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,348.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,677.35
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,737.80

Where Kentucky 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.

Kentucky· 49th of 51

$1,047

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.