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Revision Of An Earlier Cleft Lip Repair

Delaware rates for HCPCS 40720

Revises a previous cleft lip repair by reopening the old scar, recreating the gap underneath, and closing it again in a better-balanced way. It is done when the first repair has left an uneven lip border, a tight or notched scar, or a distorted nostril as the face has grown. It is planned surgery, timed to suit the child's growth rather than done urgently.

Rates data updated July 2026.

How much does Revision Of An Earlier Cleft Lip Repair cost?

$1,202

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,023 to $1,202.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $4,169 to $7,586Professionalmedian $1,202 · 10th to 90th $1,000 to $2,692
$1K$2K$5Kfacility $4,169professional $1,202

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
$4,168.69
Median
$4,168.69
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,479.11

Where Delaware sits

The same service costs 6.2 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.

Delaware· 47th of 51

$1,202

CA $6,310WV $1,023

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.