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Lip Reconstruction With a Cross-Lip Flap

South 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?

$1,259

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $11,482 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$1,259$1,047 to $1,259
FacilityA hospital or hospital-owned outpatient department$11,482$5,495 to $17,378

How much rates vary

Facilitymedian $11,482 · 10th to 90th $1,259 to $21,878Professionalmedian $1,259 · 10th to 90th $1,023 to $1,698
$50$200$1K$5K$20Kfacility $11,482professional $1,259

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
$11,748.98
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$11,481.54
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,819.70

Where South 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.

South Carolina· 44th of 51

$1,259

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.