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Layered Stitching Of A Short Cut, Scalp Or Body

Pennsylvania rates for HCPCS 12031

Repair of a cut on the scalp, armpit, trunk, arm or leg that needs more than the surface closed, so the layer of tissue beneath the skin is stitched first and the skin is then closed over it. It covers a wound at the shorter end of the range for this kind of repair. Cuts on the hands and feet are repaired separately.

Rates data updated July 2026.

How much does Layered Stitching Of A Short Cut, Scalp Or Body cost?

$302

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $955 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 13 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$251$195 to $389
FacilityA hospital or hospital-owned outpatient department$955$407 to $2,188

How much rates vary

Facilitymedian $955 · 10th to 90th $229 to $4,266Professionalmedian $251 · 10th to 90th $132 to $513
$1.0$10.0$100.0$1.0K$10.0Kfacility $955professional $251

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
$229.09
Median
$954.99
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$354.81
Typical High
$446.68
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$13,489.63
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$158.49
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$426.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$1,621.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$295.12
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$13,803.84
Typical High
$17,378.01
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$245.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$977.24
Typical High
$4,265.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$213.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$295.12
Typical High
$512.86
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$891.25
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$380.19

Where Pennsylvania sits

The same service costs 2.5 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $302 · 21st of 51
AK $550DC $224

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.