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Layered Repair Of A Longer Facial Or Lip Wound

Washington 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?

$1,609

Typical total for the visit. In Washington, July 2026.

Insurers have agreed to pay about $1,609 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $933 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$427 to $912
Facility feeThe hospital or surgery center$933$661 to $1,585

How much rates vary

Facilitymedian $933 · 10th to 90th $447 to $7,943Professionalmedian $676 · 10th to 90th $347 to $1,288
$100.0$1.0K$10.0Kfacility $933professional $676

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
$676.08
Median
$1,318.26
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$676.08
Typical High
$1,412.54
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,230.27
Typical High
$2,187.76
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,412.54
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$707.95
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$676.08
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$190.55
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$977.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$691.83
Typical High
$691.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$1,230.27
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$2,137.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$691.83
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,318.26
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$1,230.27
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$794.33

Where Washington 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 feeWashington $1,609 · 34th 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.