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Revision Of An Earlier Cleft Lip Repair

Georgia 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?

$1,862

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,413 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 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$1,413$1,072 to $1,995
FacilityA hospital or hospital-owned outpatient department$4,365$2,399 to $6,166

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,380 to $10,233Professionalmedian $1,413 · 10th to 90th $1,000 to $3,467
$1K$2K$5K$10K$20Kfacility $4,365professional $1,413

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
$1,548.82
Median
$5,370.32
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,467.37
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,691.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,309.57
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$2,818.38

Where Georgia 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.

Georgia· 19th of 51

$1,862

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.