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Cleft Lip Repair, Both Sides, First Stage

Vermont 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?

$1,288

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $912 to $1,288.

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

Professionalmedian $1,288 · 10th to 90th $912 to $1,622
$500$1K$2Kprofessional $1,288

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
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,380.38
Typical High
$3,235.94
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$4,265.80

Where Vermont 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.

Vermont· 37th of 51

$1,288

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.