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Layered Wound Closure, Face and Lips (Medium)

Kentucky rates for HCPCS 12053

Closure of a cut or wound on the face, lips, eyelids, nose, or ears using stitches placed in more than one layer of tissue, which gives a stronger repair than a simple single-layer closure. This applies to a wound of medium length in this area — longer than the smallest wounds closed this way but shorter than the largest. The layered technique helps the deeper tissue heal properly and can improve the appearance of the resulting scar.

Rates data updated July 2026.

How much does Layered Wound Closure, Face and Lips (Medium) cost?

$275

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $1,380 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 6 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$263$195 to $339
FacilityA hospital or hospital-owned outpatient department$1,380$339 to $3,890

How much rates vary

Facilitymedian $1,380 · 10th to 90th $204 to $10,715Professionalmedian $263 · 10th to 90th $178 to $457
$100$200$500$1K$2K$5K$10Kfacility $1,380professional $263

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
$204.17
Median
$416.87
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$323.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$478.63

Where Kentucky sits

The same service costs 3.2 times more in Alaska than in Kentucky. 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.

Kentucky· 51st of 51

$275

AK $871KY $275

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.