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Simple Stitching Of A Long Facial Wound

Montana rates for HCPCS 12016

Closes a cut on the face, ear, eyelid, nose, lip or the lining inside the mouth with stitches. It is the straightforward, one-layer kind of closure, used when the wound edges meet neatly and the deeper layers do not need separate repair. It covers a long cut rather than a small one.

Rates data updated October 2026.

How much does Simple Stitching Of A Long Facial Wound cost?

$482

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

Insurers have agreed to pay about $482 for this procedure. That total is two separate charges: $219 to the doctor who performs it, and $263 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$219$186 to $324
Facility feeThe hospital or surgery center$263$209 to $457

How much rates vary

Facilitymedian $263 · 10th to 90th $204 to $501Professionalmedian $219 · 10th to 90th $129 to $355
$100$200$500$1Kfacility $263professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$128.82
Typical High
$223.87
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$199.53
Typical High
$346.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$363.08
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$295.12
Typical High
$346.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$251.19
Typical High
$478.63
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$223.87
Typical High
$489.78
Providence
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$363.08
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$204.17
Typical High
$346.74
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$323.59
Typical High
$389.05

Where Montana sits

The same service costs 7.2 times more in New York than in Michigan. 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· 46th of 51

$482

$219 physician + $263 facility

NY $2,740MI $382

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.