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Simple Stitched Repair, Small-Medium Wound

Illinois rates for HCPCS 12002

A cut or wound on the trunk, arms, legs, scalp, neck, or a similar area is cleaned and closed with a single layer of stitches. This version covers a wound that is a bit longer than the smallest size handled with this type of simple repair.

Rates data updated July 2026.

How much does Simple Stitched Repair, Small-Medium Wound cost?

$486

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

Insurers have agreed to pay about $486 for this procedure. That total is two separate charges: $123 to the doctor who performs it, and $363 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$123$83.18 to $209
Facility feeThe hospital or surgery center$363$269 to $550

How much rates vary

Facilitymedian $363 · 10th to 90th $107 to $1,259Professionalmedian $123 · 10th to 90th $58 to $380
$50$200$1K$5Kfacility $363professional $123

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
$107.15
Median
$363.08
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$123.03
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$467.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$630.96
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$234.42

Where Illinois sits

The same service costs 19.6 times more in California than in Maryland. 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

Illinois· 36th of 51

$486

$123 physician + $363 facility

CA $4,618MD $235

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.