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Single-Layer Stitch Repair of a Large Facial Wound

Pennsylvania rates for HCPCS 12018

Closure of a cut on the face, ear, eyelid, nose, lip, or the lining inside the mouth using a single layer of stitches. It applies when the wound is very long, or when several such wounds are added together to reach a large total length.

Rates data updated July 2026.

How much does Single-Layer Stitch Repair of a Large Facial Wound cost?

$468

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $3,631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$155 to $251
FacilityA hospital or hospital-owned outpatient department$3,631$1,585 to $5,370

How much rates vary

Facilitymedian $3,631 · 10th to 90th $646 to $8,318Professionalmedian $182 · 10th to 90th $151 to $525
$200$500$1K$2K$5K$10Kfacility $3,631professional $182

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
$954.99
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$870.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$457.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$426.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,235.94
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$2,630.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$575.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,698.24
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$380.19

Where Pennsylvania sits

The same service costs 24.0 times more in California than in Delaware. 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.

Pennsylvania· 8th of 51

$468

CA $3,981DE $166

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.