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Simple Closure Of A Reopened Surgical Wound

Montana rates for HCPCS 12020

This procedure treats a surgical wound near the skin surface that has partially reopened after the original surgery. The edges of the wound are cleaned and simply stitched back together.

Rates data updated October 2026.

How much does Simple Closure Of A Reopened Surgical Wound cost?

$656

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

Insurers have agreed to pay about $656 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $347 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$309$269 to $437
Facility feeThe hospital or surgery center$347$302 to $550

How much rates vary

Facilitymedian $347 · 10th to 90th $263 to $617Professionalmedian $309 · 10th to 90th $186 to $490
$100$200$500$1Kfacility $347professional $309

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
$165.96
Median
$229.09
Typical High
$398.11
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$478.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$645.65
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$316.23
Typical High
$478.63
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$354.81
Typical High
$562.34
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$323.59
Typical High
$575.44
Providence
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$645.65
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$295.12
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$398.11
Typical High
$537.03

Where Montana sits

The same service costs 4.7 times more in New York 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

Montana· 48th of 51

$656

$309 physician + $347 facility

NY $2,757MD $590

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.