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Simple Wound Stitching, Medium Length

New York 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?

$2,941

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

Insurers have agreed to pay about $2,941 for this procedure. That total is two separate charges: $123 to the doctor who performs it, and $2,818 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$123$95.50 to $204
Facility feeThe hospital or surgery center$2,818$871 to $4,266

How much rates vary

Facilitymedian $2,818 · 10th to 90th $115 to $7,244Professionalmedian $123 · 10th to 90th $66 to $316
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $123

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
$104.71
Median
$1,949.84
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$123.03
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$309.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$323.59
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$281.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$338.84
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$245.47
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$812.83
Typical High
$812.83
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$436.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,454.71
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$134.90
Typical High
$323.59
Univera
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$478.63
Univera
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$398.11

Where New York 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 York· 4th of 51

$2,941

$123 physician + $2,818 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.