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Simple Stitched Repair, Face Area, Small-Medium

Illinois rates for HCPCS 12013

A cut or wound on the face, ear, eyelid, nose, lip, or inside the mouth is cleaned and closed with a single layer of stitches. This version covers a wound a bit longer than the smallest size handled this way in these cosmetically sensitive areas.

Rates data updated July 2026.

How much does Simple Stitched Repair, Face Area, Small-Medium cost?

$467

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $467 for this procedure. That total is two separate charges: $112 to the doctor who performs it, and $355 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$112$79.43 to $195
Facility feeThe hospital or surgery center$355$245 to $617

How much rates vary

Facilitymedian $355 · 10th to 90th $110 to $1,585Professionalmedian $112 · 10th to 90th $56 to $295
$50$200$1K$5Kfacility $355professional $112

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
$109.65
Median
$354.81
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$112.20
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$56.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$128.82
Typical High
$239.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$537.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$630.96
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$131.83
Typical High
$245.47

Where Illinois sits

The same service costs 20.8 times more in California than in Maryland. 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.

Physician feeFacility fee

Illinois· 37th of 51

$467

$112 physician + $355 facility

CA $5,049MD $243

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.