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Simple Stitched Repair, Face Area, Small-Medium

Vermont 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?

$120

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $89.13 to $141.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $389 · 10th to 90th $178 to $603Professionalmedian $117 · 10th to 90th $72 to $174
$100$200$500facility $389professional $117

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$177.83
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$288.40

Where Vermont sits

The same service costs 3.0 times more in California than in Washington, DC. 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.

Vermont· 41st of 51

$120

CA $295DC $97.72

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.