go back

Simple Stitched Repair, Face Area, Small-Medium

Utah 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?

$536

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

Insurers have agreed to pay about $536 for this procedure. That total is two separate charges: $129 to the doctor who performs it, and $407 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$129$89.13 to $229
Facility feeThe hospital or surgery center$407$363 to $490

How much rates vary

Facilitymedian $407 · 10th to 90th $148 to $3,162Professionalmedian $129 · 10th to 90th $55 to $407
$50$100$200$500$1K$2K$5Kfacility $407professional $129

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
$128.82
Median
$407.38
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$128.82
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$194.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$190.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Select Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$208.93
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$186.21

Where Utah 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

Utah· 30th of 51

$536

$129 physician + $407 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.