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Simple Wound Stitching, Medium Length

Utah 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?

$994

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

Insurers have agreed to pay about $994 for this procedure. That total is two separate charges: $123 to the doctor who performs it, and $871 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$123$91.20 to $186
Facility feeThe hospital or surgery center$871$407 to $3,388

How much rates vary

Facilitymedian $871 · 10th to 90th $138 to $4,467Professionalmedian $123 · 10th to 90th $69 to $229
$100$200$500$1K$2K$5Kfacility $871professional $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
$138.04
Median
$870.96
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$218.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$229.09
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$199.53

Where Utah 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

Utah· 15th of 51

$994

$123 physician + $871 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.