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Simple Stitched Repair, Face Area, Small-Medium

West Virginia 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?

$577

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $577 for this procedure. That total is two separate charges: $110 to the doctor who performs it, and $468 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$110$87.10 to $126
Facility feeThe hospital or surgery center$468$457 to $525

How much rates vary

Facilitymedian $468 · 10th to 90th $170 to $708Professionalmedian $110 · 10th to 90th $58 to $145
$50$100$200$500facility $468professional $110

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
$169.82
Median
$467.74
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$77.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$128.82
Typical High
$1,047.13
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$229.09

Where West Virginia 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

West Virginia· 25th of 51

$577

$110 physician + $468 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.