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Lip Reconstruction With a Cross-Lip Flap

New Mexico 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?

$1,549

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,585 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$1,549$1,148 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,585$1,380 to $7,762

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,047 to $11,749Professionalmedian $1,549 · 10th to 90th $1,148 to $5,888
$50$200$1K$5K$20Kfacility $1,585professional $1,549

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
$1,513.56
Median
$1,584.89
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$1,949.84

Where New Mexico 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.

New Mexico· 33rd of 51

$1,549

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.