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Simple Stitched Repair, Small-Medium Wound

North Carolina 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?

$470

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $470 for this procedure. That total is two separate charges: $115 to the doctor who performs it, and $355 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$115$87.10 to $219
Facility feeThe hospital or surgery center$355$195 to $468

How much rates vary

Facilitymedian $355 · 10th to 90th $98 to $631Professionalmedian $115 · 10th to 90th $58 to $302
$50$100$200$500$1K$2K$5Kfacility $355professional $115

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
$109.65
Median
$354.81
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$251.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$208.93
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$104.71
Typical High
$199.53
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,786.30
Typical High
$4,786.30
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$977.24

Where North Carolina 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

North Carolina· 38th of 51

$470

$115 physician + $355 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.