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Lip Reconstruction With a Cross-Lip Flap

North Carolina 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?

$1,202

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,660 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$1,148$1,047 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,660$1,259 to $7,586

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,047 to $10,233Professionalmedian $1,148 · 10th to 90th $1,000 to $3,236
$1K$2K$5K$10K$20Kfacility $1,660professional $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
$1,047.13
Median
$4,073.80
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,187.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,778.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$2,187.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54

Where North Carolina 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.

North Carolina· 49th of 51

$1,202

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.