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

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $457 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$224 to $427
FacilityA hospital or hospital-owned outpatient department$457$339 to $933

How much rates vary

Facilitymedian $457 · 10th to 90th $214 to $5,012Professionalmedian $355 · 10th to 90th $214 to $871
$100.0$500.0$2.0K$10.0Kfacility $457professional $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
$213.80
Median
$549.54
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$562.34
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,235.94

Where North Carolina 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.

North Carolina $363 · 35th 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.