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Layered Wound Closure, Larger Area

North Carolina 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?

$966

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $966 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $550 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$282 to $537
Facility feeThe hospital or surgery center$550$372 to $1,549

How much rates vary

Facilitymedian $550 · 10th to 90th $275 to $6,166Professionalmedian $417 · 10th to 90th $263 to $891
$500$1K$2K$5Kfacility $550professional $417

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
$275.42
Median
$645.65
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$870.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$616.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$660.69
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,715.35

Where North Carolina 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

North Carolina· 47th of 50

$966

$417 physician + $550 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.