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Cleft Lip Repair, Both Sides, First Stage

New Mexico 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?

$1,445

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,514 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$1,445$1,072 to $1,514
FacilityA hospital or hospital-owned outpatient department$1,514$1,148 to $7,762

How much rates vary

Facilitymedian $1,514 · 10th to 90th $955 to $11,749Professionalmedian $1,445 · 10th to 90th $933 to $5,370
$50$200$1K$5K$20Kfacility $1,514professional $1,445

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
$1,412.54
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,778.28

Where New Mexico 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.

New Mexico· 32nd of 51

$1,445

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.