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Layered Repair Of A Longer Facial Or Lip Wound

New Jersey 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?

$6,171

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,171 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $5,754 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$269 to $562
Facility feeThe hospital or surgery center$5,754$3,090 to $7,762

How much rates vary

Facilitymedian $5,754 · 10th to 90th $759 to $10,471Professionalmedian $417 · 10th to 90th $245 to $1,950
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,754professional $417

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
$707.95
Median
$5,888.44
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$912.01
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$891.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$2,089.30
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$478.63
Typical High
$831.76
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
$177.83
Median
$346.74
Typical High
$741.31

Where New Jersey sits

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Jersey $6,171 · 1st of 50
NJ $6,171MD $645

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.