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Simple Stitched Repair, Face Area, Small-Medium

Kentucky 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?

$438

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

Insurers have agreed to pay about $438 for this procedure. That total is two separate charges: $107 to the doctor who performs it, and $331 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$107$63.10 to $151
Facility feeThe hospital or surgery center$331$115 to $851

How much rates vary

Facilitymedian $331 · 10th to 90th $72 to $6,310Professionalmedian $107 · 10th to 90th $51 to $275
$50$200$1K$5Kfacility $331professional $107

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
$72.44
Median
$309.03
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$194.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$109.65
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$100.00
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$144.54
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$199.53

Where Kentucky 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

Kentucky· 40th of 51

$438

$107 physician + $331 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.