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Simple Wound Stitching, Medium Length

Tennessee 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?

$769

Typical total for the visit. In Tennessee, July 2026.

Insurers have agreed to pay about $769 for this procedure. That total is two separate charges: $123 to the doctor who performs it, and $646 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$123$85.11 to $186
Facility feeThe hospital or surgery center$646$316 to $1,778

How much rates vary

Facilitymedian $646 · 10th to 90th $138 to $2,630Professionalmedian $123 · 10th to 90th $63 to $288
$100$200$500$1K$2K$5Kfacility $646professional $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
$131.83
Median
$575.44
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$114.82
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$245.47
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,621.81
Typical High
$1,621.81
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$223.87

Where Tennessee 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

Tennessee· 25th of 51

$769

$123 physician + $646 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.