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Simple Wound Stitching, Medium Length

Kentucky 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?

$431

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

Insurers have agreed to pay about $431 for this procedure. That total is two separate charges: $115 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$115$77.62 to $148
Facility feeThe hospital or surgery center$316$123 to $794

How much rates vary

Facilitymedian $316 · 10th to 90th $85 to $3,890Professionalmedian $115 · 10th to 90th $63 to $309
$100$200$500$1K$2K$5K$10Kfacility $316professional $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
$85.11
Median
$281.84
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$100.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$223.87

Where Kentucky 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

Kentucky· 40th of 51

$431

$115 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.