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

Missouri 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?

$407

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $1,585 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 7 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$347$257 to $537
FacilityA hospital or hospital-owned outpatient department$1,585$676 to $3,090

How much rates vary

Facilitymedian $1,585 · 10th to 90th $324 to $5,248Professionalmedian $347 · 10th to 90th $204 to $1,622
$100$200$500$1K$2K$5Kfacility $1,585professional $347

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
$288.40
Median
$1,698.24
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$1,737.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$380.19
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$630.96

Where Missouri 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.

Missouri· 20th of 51

$407

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.