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Simple Wound Stitching, Medium Length

Illinois 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?

$550

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

Insurers have agreed to pay about $550 for this procedure. That total is two separate charges: $123 to the doctor who performs it, and $427 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$91.20 to $200
Facility feeThe hospital or surgery center$427$269 to $1,148

How much rates vary

Facilitymedian $427 · 10th to 90th $123 to $2,884Professionalmedian $123 · 10th to 90th $69 to $282
$100$200$500$1K$2K$5K$10Kfacility $427professional $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
$123.03
Median
$426.58
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$117.49
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$645.65
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
$83.18
Median
$95.50
Typical High
$181.97
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
$79.43
Median
$151.36
Typical High
$275.42

Where Illinois 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

Illinois· 35th of 51

$550

$123 physician + $427 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.