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Simple Closure Of A Reopened Surgical Wound

Vermont 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 July 2026.

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

$295

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $204 to $309.

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 $2,291 · 10th to 90th $2,291 to $2,512Professionalmedian $295 · 10th to 90th $191 to $417
$200.0$500.0$1.0K$2.0Kfacility $2,291professional $295

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
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$398.11
Typical High
$676.08
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$691.83

Where Vermont sits

The same service costs 3.2 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $295 · 34th of 51
AK $708HI $219

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.