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Simple Wound Stitching, Medium Length

North Carolina 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?

$462

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $462 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $324 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$138$107 to $263
Facility feeThe hospital or surgery center$324$155 to $525

How much rates vary

Facilitymedian $324 · 10th to 90th $85 to $1,047Professionalmedian $138 · 10th to 90th $72 to $372
$50$100$200$500$1K$2K$5Kfacility $324professional $138

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
$109.65
Median
$338.84
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$234.42
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,621.81
Typical High
$1,621.81
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,122.02

Where North Carolina 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

North Carolina· 38th of 51

$462

$138 physician + $324 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.