go back

Layered Repair Of A Longer Facial Or Lip Wound

Washington, DC rates for HCPCS 12055

Closure of a wound on the face, ears, eyelids, nose, lips, or inside the mouth that goes deeper than the skin, requiring stitches placed in layers to close the deeper tissue as well as the surface. This version is for a longer wound than the more limited version of this repair. Layered closure generally produces a stronger repair and a better cosmetic result than a simple surface-only repair.

Rates data updated July 2026.

How much does Layered Repair Of A Longer Facial Or Lip Wound cost?

$398

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $302 to $537.

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.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $302 to $7,762Professionalmedian $398 · 10th to 90th $269 to $537
$200$500$1K$2K$5Kfacility $3,548professional $398

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
$302.00
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$537.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$549.54
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$851.14

Where Washington, DC sits

The same service costs 6.0 times more in California than in West Virginia. 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.

Washington, DC· 50th of 51

$398

CA $2,089WV $347

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.