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

New Jersey 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?

$372

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $5,370 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 5 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$331$209 to $457
FacilityA hospital or hospital-owned outpatient department$5,370$2,239 to $7,586

How much rates vary

Facilitymedian $5,370 · 10th to 90th $324 to $10,233Professionalmedian $331 · 10th to 90th $191 to $1,202
$10.0$100.0$1.0K$10.0Kfacility $5,370professional $331

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
$295.12
Median
$5,754.40
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$691.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$645.65
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,348.96
Typical High
$2,041.74
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$371.54
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$549.54

Where New Jersey 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.

New Jersey $372 · 31st 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.