go back

Extra Complex Wound Repair, Face

Pennsylvania rates for HCPCS 13153

This covers additional length of a complex, multi-layer wound repair on the eyelid, nose, ear, or lip, beyond what the main repair already covers. It's billed in addition to the main procedure when the wound is longer and needs more repair than the base service accounts for. Complex repairs go beyond simple stitching, often involving deeper layers and reshaping the wound edges for the best cosmetic result.

Rates data updated July 2026.

How much does Extra Complex Wound Repair, Face cost?

$4,236

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

Insurers have agreed to pay about $4,236 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $4,074 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$162$132 to $200
Facility feeThe hospital or surgery center$4,074$1,738 to $6,166

How much rates vary

Facilitymedian $4,074 · 10th to 90th $537 to $8,318Professionalmedian $162 · 10th to 90th $117 to $302
$200$500$1K$2K$5K$10Kfacility $4,074professional $162

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
$660.69
Median
$4,265.80
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$263.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,570.40
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$316.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$645.65
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$177.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$489.78
Typical High
$1,047.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$302.00

Where Pennsylvania sits

The same service costs 23.6 times more in Nebraska 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.

Physician feeFacility fee

Pennsylvania· 9th of 49

$4,236

$162 physician + $4,074 facility

NE $7,826WV $332

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.