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Layered Wound Closure, Face/Nose/Lips, Mid-Range Size

Illinois rates for HCPCS 12054

This is a layered surgical repair of a cut or wound on the face, ears, eyelids, nose, lips, or inside the mouth, closing both the deeper tissue and the skin surface for a longer wound in this area. Compared to simple stitching, a layered closure also brings together the tissue beneath the skin, which supports better healing and a finer scar in a visible area. It is typically used after a traumatic injury or removal of a growth that leaves a sizable wound.

Rates data updated July 2026.

How much does Layered Wound Closure, Face/Nose/Lips, Mid-Range Size cost?

$389

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $1,259 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$355$269 to $537
FacilityA hospital or hospital-owned outpatient department$1,259$589 to $3,236

How much rates vary

Facilitymedian $1,259 · 10th to 90th $355 to $5,129Professionalmedian $355 · 10th to 90th $204 to $692
$50.0$200.0$1.0K$5.0Kfacility $1,259professional $355

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
$354.81
Median
$1,318.26
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$630.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$512.86
Typical High
$1,202.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$794.33

Where Illinois sits

The same service costs 4.4 times more in California than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $389 · 24th of 51
CA $1,349DC $309

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.