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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 October 2026.

How much does Layered Wound Closure, Larger Area cost?

$982

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

Insurers have agreed to pay about $982 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $525 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$457$407 to $646
Facility feeThe hospital or surgery center$525$457 to $813

How much rates vary

Facilitymedian $525 · 10th to 90th $398 to $871Professionalmedian $457 · 10th to 90th $275 to $708
$100$200$500$1Kfacility $525professional $457

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
$239.88
Median
$346.74
Typical High
$446.68
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
$446.68
Median
$446.68
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$645.65
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$467.74
Typical High
$691.83
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$537.03
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$489.78
Typical High
$870.96
Providence
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$645.65
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$446.68
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$575.44
Typical High
$776.25

Where Montana sits

The same service costs 4.1 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· 41st of 51

$982

$457 physician + $525 facility

NY $3,010MD $740

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.