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Cleft Lip Repair, Both Sides, First Stage

Tennessee 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?

$1,479

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $3,981 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$1,230$977 to $1,622
FacilityA hospital or hospital-owned outpatient department$3,981$2,089 to $6,457

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,000 to $8,913Professionalmedian $1,230 · 10th to 90th $891 to $2,818
$100$200$500$1K$2K$5K$10Kfacility $3,981professional $1,230

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
$891.25
Median
$2,398.83
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$2,089.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$16,982.44
Typical High
$16,982.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$8,511.38
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,905.46

Where Tennessee 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.

Tennessee· 31st of 51

$1,479

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.