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Layered Wound Closure, Larger Area

Montana rates for HCPCS 12036

This is a wound closure that repairs a longer wound in layers, stitching the deeper tissue as well as the skin surface, on the scalp, trunk, arms, or legs. It is used for a larger wound than the smaller layered-closure options, but is not the most extensive size category.

Rates data updated July 2026.

How much does Layered Wound Closure, Larger Area cost?

$1,099

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

Insurers have agreed to pay about $1,099 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $631 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$468$372 to $759
Facility feeThe hospital or surgery center$631$490 to $759

How much rates vary

Facilitymedian $631 · 10th to 90th $468 to $871Professionalmedian $468 · 10th to 90th $263 to $1,047
$500$2K$10K$50Kfacility $631professional $468

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
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$691.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$812.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$812.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$741.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$446.68
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$776.25

Where Montana sits

The same service costs 8.7 times more in California than in West Virginia. 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· 43rd of 50

$1,099

$468 physician + $631 facility

CA $6,162WV $709

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.