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Complex Wound Repair, Cheek Or Neck Area, Small-Medium

Washington, DC rates for HCPCS 13131

A wound on the forehead, cheek, chin, mouth area, neck, armpit, genital area, hand, or foot is closed using a complex, multi-layer repair technique that goes beyond basic stitching, such as releasing tight tissue around the wound edges to allow it to close properly. This version covers one of the smaller wound lengths handled this way in these areas.

Rates data updated July 2026.

How much does Complex Wound Repair, Cheek Or Neck Area, Small-Medium cost?

$331

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

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $240 to $501.

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 $240 to $7,762Professionalmedian $331 · 10th to 90th $219 to $575
$200$500$1K$2K$5Kfacility $3,548professional $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
$239.88
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$549.54
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$691.83

Where Washington, DC sits

The same service costs 3.2 times more in Alaska than in Hawaii. 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· 45th of 51

$331

AK $794HI $251

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.