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Complex Repair of a Larger Facial Wound

North Carolina rates for HCPCS 13152

This service repairs a wound on the eyelids, nose, ears, or lips using a complex repair technique that addresses extensive tissue rearrangement and reshaping beyond basic stitching. It covers a longer wound than the smaller version of this same type of repair.

Rates data updated July 2026.

How much does Complex Repair of a Larger Facial Wound cost?

$490

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $759 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$490$324 to $617
FacilityA hospital or hospital-owned outpatient department$759$490 to $1,096

How much rates vary

Facilitymedian $759 · 10th to 90th $339 to $2,344Professionalmedian $490 · 10th to 90th $275 to $1,148
$200$500$1K$2K$5Kfacility $759professional $490

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
$338.84
Median
$776.25
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$478.63
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$812.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,168.69

Where North Carolina sits

The same service costs 2.6 times more in Alaska 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.

North Carolina· 35th of 51

$490

AK $1,047WV $407

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.