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Simple Stitched Repair, Face Area, Small-Medium

North Carolina 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?

$465

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $465 for this procedure. That total is two separate charges: $126 to the doctor who performs it, and $339 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$126$79.43 to $234
Facility feeThe hospital or surgery center$339$174 to $427

How much rates vary

Facilitymedian $339 · 10th to 90th $85 to $955Professionalmedian $126 · 10th to 90th $58 to $324
$10$50$200$1K$5Kfacility $339professional $126

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
$87.10
Median
$346.74
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$181.97
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$245.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$269.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$109.65
Typical High
$208.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,890.45
Typical High
$3,890.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,047.13

Where North Carolina 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

North Carolina· 38th of 51

$465

$126 physician + $339 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.