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Cleft Lip Repair, Both Sides, First Stage

Missouri 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?

$2,512

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $4,571 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$1,202$1,047 to $1,905
FacilityA hospital or hospital-owned outpatient department$4,571$2,692 to $6,457

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,514 to $8,511Professionalmedian $1,202 · 10th to 90th $912 to $4,898
$1K$2K$5K$10Kfacility $4,571professional $1,202

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
$1,258.93
Median
$3,548.13
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$954.99
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,202.26
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,621.81
Typical High
$10,715.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,445.44
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,677.35
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$2,454.71

Where Missouri 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.

Missouri· 6th of 51

$2,512

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.