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Simple Wound Stitching, Medium Length

New Hampshire 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?

$423

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $423 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $275 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$148$97.72 to $234
Facility feeThe hospital or surgery center$275$129 to $646

How much rates vary

Facilitymedian $275 · 10th to 90th $100 to $1,549Professionalmedian $148 · 10th to 90th $72 to $339
$100$200$500$1K$2K$5K$10Kfacility $275professional $148

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
$77.62
Median
$234.42
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$158.49
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$316.23
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$190.55
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$363.08

Where New Hampshire 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

New Hampshire· 43rd of 51

$423

$148 physician + $275 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.