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

Indiana 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?

$363

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $4,074 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$309$209 to $363
FacilityA hospital or hospital-owned outpatient department$4,074$2,455 to $5,495

How much rates vary

Facilitymedian $4,074 · 10th to 90th $631 to $7,586Professionalmedian $309 · 10th to 90th $182 to $479
$200$500$1K$2K$5K$10Kfacility $4,074professional $309

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
$316.23
Median
$2,344.23
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,073.80
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$524.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$537.03

Where Indiana sits

The same service costs 4.4 times more in California than in Washington, DC. 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.

Indiana· 37th of 51

$363

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.