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Cleft Lip Repair, Both Sides, First Stage

Virginia 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?

$1,230

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $4,365 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 8 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$1,175$1,023 to $1,549
FacilityA hospital or hospital-owned outpatient department$4,365$1,230 to $7,943

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,072 to $10,965Professionalmedian $1,175 · 10th to 90th $955 to $3,388
$1K$2K$5K$10K$20Kfacility $4,365professional $1,175

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
$1,174.90
Median
$5,128.61
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,819.70
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,412.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Sentara
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,819.70

Where Virginia 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.

Virginia· 39th of 51

$1,230

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.