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Cleft Lip Repair, Both Sides, First Stage

Maryland 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?

$1,175

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $1,023 to $2,089.

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.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,230 to $12,023Professionalmedian $1,175 · 10th to 90th $912 to $3,162
$1K$2K$5K$10Kfacility $2,884professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$3,162.28
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,884.03
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$2,041.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,445.44

Where Maryland 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.

Maryland· 42nd of 51

$1,175

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.