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Simple Wound Stitching, Medium Length

South 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?

$630

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

Insurers have agreed to pay about $630 for this procedure. That total is two separate charges: $129 to the doctor who performs it, and $501 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$129$79.43 to $170
Facility feeThe hospital or surgery center$501$178 to $832

How much rates vary

Facilitymedian $501 · 10th to 90th $95 to $5,623Professionalmedian $129 · 10th to 90th $72 to $347
$100$500$2K$10Kfacility $501professional $129

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
$100.00
Median
$616.60
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$371.54
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,122.02
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$213.80

Where South 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

South Carolina· 32nd of 51

$630

$129 physician + $501 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.