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Simple Stitched Repair, Face Area, Small-Medium

Montana 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?

$314

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

Insurers have agreed to pay about $314 for this procedure. That total is two separate charges: $115 to the doctor who performs it, and $200 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$115$83.18 to $200
Facility feeThe hospital or surgery center$200$102 to $263

How much rates vary

Facilitymedian $200 · 10th to 90th $98 to $525Professionalmedian $115 · 10th to 90th $62 to $398
$100$1K$10K$100Kfacility $200professional $115

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
$229.09
Median
$426.58
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$114.82
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$194.98
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$190.55
Typical High
$218.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$190.55
Typical High
$218.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$162.18
Typical High
$213.80

Where Montana 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

Montana· 50th of 51

$314

$115 physician + $200 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.