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Lip Reconstruction With a Cross-Lip Flap

New York 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?

$2,089

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $5,623 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 9 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$1,230$1,047 to $1,698
FacilityA hospital or hospital-owned outpatient department$5,623$3,090 to $8,511

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,479 to $12,023Professionalmedian $1,230 · 10th to 90th $912 to $3,236
$1K$2K$5K$10Kfacility $5,623professional $1,230

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
$1,258.93
Median
$4,570.88
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,691.53
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,548.82
Typical High
$4,073.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$3,715.35
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$2,454.71
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,995.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,412.54
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$3,311.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$4,168.69
Univera
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$3,801.89

Where New York 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 York· 15th of 51

$2,089

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.