Lip tie release (frenotomy)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Incision Labial Frenum Frenotomy

Payers reporting CPT 40806

Payer pricing summary

Low

$39

Average

$1.0k

Median

$665

High

$6.5k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	367	$728	$1.2k	$1.9k	152%	4–40	$1 – $18.0k
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	545	$515	$920	$1.5k	168%	1–10	$1 – $17.9k
3	Aetna fee schedule · outpatient · +30 other terms	488	$578	$1.3k	$2.1k	161%	—	$1 – $21.3k
4	Humana fee schedule · outpatient · +28 other terms	377	$504	$533	$852	160%	—	$1 – $12.8k
5	Cigna case rate · outpatient · +25 other terms	251	$944	$4.2k	$7.0k	167%	—	$0 – $40.7k
6	Molina fee schedule · outpatient · +28 other terms	222	$393	$310	$419	135%	—	$1 – $3.5k
7	WellCare fee schedule · outpatient · +20 other terms	177	$514	$622	$558	90%	—	$26 – $4.3k
8	Oscar case rate · outpatient · +19 other terms	130	$2.5k	$2.6k	$768	29%	—	$796 – $7.5k
9	Anthem fee schedule · outpatient · +26 other terms	122	$494	$493	$974	198%	—	$12 – $8.1k
10	Kaiser fee schedule · outpatient · +22 other terms	98	$766	$949	$835	88%	—	$15 – $4.3k
11	Ambetter fee schedule · outpatient · +15 other terms	81	$936	$754	$534	71%	—	$37 – $2.3k
12	Aetna Better Health fee schedule · outpatient · +18 other terms	72	$92	$120	$95	79%	—	$22 – $477
13	Devoted fee schedule · outpatient · +11 other terms	70	$516	$469	$172	37%	—	$30 – $601
14	Optum fee schedule · outpatient · +22 other terms	65	$468	$468	$397	85%	—	$26 – $2.0k
15	Caresource fee schedule · outpatient · +13 other terms	60	$548	$746	$866	116%	—	$1 – $4.3k
16	MultiPlan fee schedule · outpatient · +20 other terms	46	$763	$816	$191	23%	—	$20 – $897
17	Healthcare Highways case rate · outpatient · +1 other terms	42	$5.8k	$6.6k	$5.1k	78%	—	$2.1k – $14.6k
18	Superior Healthplan case rate · outpatient · +6 other terms	38	$948	$942	$26	3%	—	$765 – $948
19	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$196	$180	$131	73%	—	$70 – $525
20	Tricare other · outpatient · +19 other terms	33	$492	$1.3k	$1.4k	106%	—	$183 – $3.6k
21	Amerihealth Caritas case rate · outpatient · +11 other terms	32	$370	$1.8k	$1.4k	79%	—	$350 – $3.3k
22	Cigna Healthspring fee schedule · outpatient · +8 other terms	32	$76	$231	$216	94%	—	$26 – $535
23	Clover fee schedule · outpatient · +9 other terms	32	$569	$1.1k	$1.2k	117%	—	$487 – $4.4k
24	Medica fee schedule · outpatient · +17 other terms	29	$388	$326	$249	76%	—	$26 – $731
25	Regence professional · fee schedule · outpatient · +14 other terms	28	$61	$99	$84	85%	—	$13 – $314

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