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Cleft Lip Repair, Both Sides, First Stage

North Dakota 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?

$1,950

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $1,000 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 5 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$1,950$1,000 to $2,291
FacilityA hospital or hospital-owned outpatient department$1,000$1,000 to $5,012

How much rates vary

Facilitymedian $1,000 · 10th to 90th $933 to $8,511Professionalmedian $1,950 · 10th to 90th $933 to $2,570
$1K$2K$5K$10Kfacility $1,000professional $1,950

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
$933.25
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$2,454.71

Where North Dakota 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 Dakota· 12th of 51

$1,950

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.