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Lip Reconstruction With a Cross-Lip Flap

Wisconsin 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?

$3,311

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $10,233 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 11 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$1,905$1,175 to $3,388
FacilityA hospital or hospital-owned outpatient department$10,233$7,079 to $13,490

How much rates vary

Facilitymedian $10,233 · 10th to 90th $3,162 to $16,982Professionalmedian $1,905 · 10th to 90th $1,023 to $5,012
$1K$2K$5K$10K$20Kfacility $10,233professional $1,905

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
$1,174.90
Median
$2,187.76
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,235.94
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,187.76
Typical High
$4,466.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,090.30
Typical High
$10,471.29
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,235.94
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,737.80
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,348.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,691.53
Typical High
$4,168.69
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$3,090.30
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$3,388.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,982.44
Typical High
$16,982.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$9,332.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,370.32
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$4,570.88

Where Wisconsin 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.

Wisconsin· 4th of 51

$3,311

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.