Price Checker / CPT 40702

How much does Repair Cleft Lip/nasal cost?

CPT 40702 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $3,400–$4,000.

Fair price

$3,400–$4,000

What this should cost

With insurance

~$3,700

Typical out-of-pocket

Overcharged if over

$5,000

Push back above this

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About Repair Cleft Lip/nasal

CPT code 40702 refers to repair cleft lip/nasal (billing description: "Repair cleft lip/nasal"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $899 in a facility (hospital or surgery center) and $899 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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