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Cleft Lip Repair, Both Sides, First Stage

New York 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?

$1,905

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $5,754 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 9 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$1,072$933 to $1,549
FacilityA hospital or hospital-owned outpatient department$5,754$3,090 to $8,913

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,318 to $12,303Professionalmedian $1,072 · 10th to 90th $813 to $2,884
$500$1K$2K$5K$10Kfacility $5,754professional $1,072

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
$1,148.15
Median
$4,570.88
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$2,290.87
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$12,302.69
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,348.96
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,071.52
Typical High
$2,398.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,290.87
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,862.09
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$23,442.29
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,202.26
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$2,951.21
Univera
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$3,467.37
Univera
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$3,548.13

Where New York 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 York· 14th of 51

$1,905

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.