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Cleft Lip Repair, Both Sides, First Stage

South 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?

$1,660

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $1,698 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 7 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$1,660$977 to $2,138
FacilityA hospital or hospital-owned outpatient department$1,698$1,288 to $3,548

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,000 to $4,467Professionalmedian $1,660 · 10th to 90th $832 to $2,884
$1K$2K$5K$10Kfacility $1,698professional $1,660

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
$1,000.00
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,290.87
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$7,585.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$2,290.87

Where South 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.

South Dakota· 21st of 51

$1,660

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.