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Cleft Lip Repair, Both Sides, First Stage

Rhode Island 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?

$1,318

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $1,047 to $1,905.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $3,236 to $13,183Professionalmedian $1,148 · 10th to 90th $933 to $1,820
$1K$2K$5K$10Kfacility $6,026professional $1,148

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,659.59
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,413.10
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,137.96

Where Rhode Island 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.

Rhode Island· 35th of 51

$1,318

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.