go back

Cleft Lip Repair, Both Sides, First Stage

North Carolina 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 North Carolina, 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 $1,660 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$955 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,660$1,122 to $7,586

How much rates vary

Facilitymedian $1,660 · 10th to 90th $977 to $10,000Professionalmedian $977 · 10th to 90th $851 to $2,754
$1K$2K$5K$10K$20Kfacility $1,660professional $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
$977.24
Median
$3,235.94
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$977.24
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,862.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$16,982.44
Typical High
$16,982.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$8,511.38

Where North Carolina 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.

North Carolina· 48th 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.