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Simple Stitched Repair, Small-Medium Wound

Montana 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?

$320

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

Insurers have agreed to pay about $320 for this procedure. That total is two separate charges: $120 to the doctor who performs it, and $200 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$120$93.33 to $195
Facility feeThe hospital or surgery center$200$110 to $339

How much rates vary

Facilitymedian $200 · 10th to 90th $100 to $550Professionalmedian $120 · 10th to 90th $59 to $437
$100$1K$10Kfacility $200professional $120

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
$257.04
Median
$416.87
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$114.82
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$181.97
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$213.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$162.18
Typical High
$208.93

Where Montana 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

Montana· 50th of 51

$320

$120 physician + $200 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.