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Lip Reconstruction With a Cross-Lip Flap

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $12,882 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$1,148$1,047 to $1,288
FacilityA hospital or hospital-owned outpatient department$12,882$5,754 to $21,878

How much rates vary

Facilitymedian $12,882 · 10th to 90th $1,738 to $25,704Professionalmedian $1,148 · 10th to 90th $891 to $1,738
$1K$2K$5K$10K$20Kfacility $12,882professional $1,148

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
$1,122.02
Median
$4,897.79
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$1,995.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,230.27
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$2,137.96

Where Indiana 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.

Indiana· 19th 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.