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Lip Reconstruction With a Cross-Lip Flap

Illinois 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?

$1,622

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $2,138 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 6 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$1,445$1,072 to $1,950
FacilityA hospital or hospital-owned outpatient department$2,138$1,259 to $5,370

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,023 to $9,333Professionalmedian $1,445 · 10th to 90th $1,000 to $2,570
$500$1K$2K$5K$10K$20Kfacility $2,138professional $1,445

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
$977.24
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,454.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,912.51
Typical High
$20,417.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$6,309.57
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,370.32
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$2,398.83

Where Illinois 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.

Illinois· 31st of 51

$1,622

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.