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Simple Wound Stitching, Medium Length

Hawaii rates for HCPCS 12004

Basic stitched closure of a cut or wound on the scalp, neck, trunk, arms, legs, or genital area that goes through the outer layers of skin but doesn't involve deeper tissue repair. This covers a wound whose total length falls in a medium range, roughly 3 to 5 inches.

Rates data updated July 2026.

How much does Simple Wound Stitching, Medium Length cost?

$155

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $115 to $170.

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.

How much rates vary

Facilitymedian $575 · 10th to 90th $339 to $2,884Professionalmedian $123 · 10th to 90th $76 to $204
$50$100$200$500$1K$2Kfacility $575professional $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
$338.84
Median
$575.44
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$204.17
HMSA
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$218.78
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$89.13
Typical High
$173.78

Where Hawaii sits

The same service costs 4.4 times more in California than in Washington, DC. 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.

Hawaii· 30th of 51

$155

CA $479DC $110

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.