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Cleft Lip Repair, Both Sides, First Stage

Massachusetts 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?

$1,660

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $3,311 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$1,318$1,023 to $2,239
FacilityA hospital or hospital-owned outpatient department$3,311$2,188 to $4,677

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,072 to $7,586Professionalmedian $1,318 · 10th to 90th $912 to $2,818
$100$200$500$1K$2K$5K$10Kfacility $3,311professional $1,318

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
$1,778.28
Median
$3,311.31
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$2,818.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,011.87
Typical High
$15,135.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,754.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,513.56
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,659.59
Typical High
$2,754.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,011.87
Typical High
$15,135.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$3,235.94

Where Massachusetts 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.

Massachusetts· 22nd of 51

$1,660

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.