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Simple Wound Stitching, Medium Length

Idaho 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?

$445

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

Insurers have agreed to pay about $445 for this procedure. That total is two separate charges: $129 to the doctor who performs it, and $316 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$129$89.13 to $200
Facility feeThe hospital or surgery center$316$174 to $501

How much rates vary

Facilitymedian $316 · 10th to 90th $112 to $1,413Professionalmedian $129 · 10th to 90th $72 to $251
$100$200$500$1K$2K$5Kfacility $316professional $129

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
$131.83
Median
$407.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$257.04
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$218.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$251.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$660.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$316.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$223.87

Where Idaho sits

The same service costs 22.1 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

Idaho· 39th of 51

$445

$129 physician + $316 facility

CA $5,160MD $234

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.