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Lip Reconstruction With a Cross-Lip Flap

Idaho rates for HCPCS 40761

Reconstructive surgery that borrows a wedge of tissue from the opposite lip, left attached by its own small blood supply, and swings it across to rebuild a lip that is deficient or distorted. The connecting bridge stays in place for a period so the transferred tissue can establish a blood supply in its new position, and is divided at a second stage. It is used when there is not enough lip tissue to close the gap directly.

Rates data updated July 2026.

How much does Lip Reconstruction With a Cross-Lip Flap cost?

$1,905

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $5,495 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$1,698$1,479 to $2,089
FacilityA hospital or hospital-owned outpatient department$5,495$2,884 to $11,220

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,288 to $15,136Professionalmedian $1,698 · 10th to 90th $1,148 to $3,090
$1K$2K$5K$10K$20Kfacility $5,495professional $1,698

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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,606.93
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$1,905.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,548.82
Typical High
$3,235.94
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$2,290.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$7,762.47
Typical High
$12,589.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$2,137.96

Where Idaho sits

The same service costs 5.4 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.

Idaho· 21st of 51

$1,905

CA $5,754WV $1,072

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.