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Simple Wound Stitching, Medium Length

Massachusetts 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?

$854

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

Insurers have agreed to pay about $854 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $692 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$162$97.72 to $245
Facility feeThe hospital or surgery center$692$105 to $2,239

How much rates vary

Facilitymedian $692 · 10th to 90th $81 to $3,388Professionalmedian $162 · 10th to 90th $74 to $389
$100$200$500$1K$2K$5Kfacility $692professional $162

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
$97.72
Median
$1,412.54
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$109.65
Typical High
$371.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$562.34
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$169.82
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$158.49
Typical High
$323.59
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$281.84
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$407.38
Health New England
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$588.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$562.34
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$169.82
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$177.83
Typical High
$389.05

Where Massachusetts 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

Massachusetts· 20th of 51

$854

$162 physician + $692 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.