go back

Simple Wound Stitching, Medium Length

New Mexico 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?

$398

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

Insurers have agreed to pay about $398 for this procedure. That total is two separate charges: $135 to the doctor who performs it, and $263 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$135$91.20 to $200
Facility feeThe hospital or surgery center$263$138 to $562

How much rates vary

Facilitymedian $263 · 10th to 90th $98 to $1,096Professionalmedian $135 · 10th to 90th $71 to $380
$100$1K$10Kfacility $263professional $135

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
$89.13
Median
$245.47
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$524.81
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.02
Typical High
$190.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$257.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$239.88

Where New Mexico 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 Mexico· 46th of 51

$398

$135 physician + $263 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.