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Simple Wound Stitching, Medium Length

Virginia 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?

$479

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

Insurers have agreed to pay about $479 for this procedure. That total is two separate charges: $132 to the doctor who performs it, and $347 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$132$81.28 to $186
Facility feeThe hospital or surgery center$347$138 to $1,995

How much rates vary

Facilitymedian $347 · 10th to 90th $85 to $5,248Professionalmedian $132 · 10th to 90th $72 to $269
$100$200$500$1K$2K$5K$10Kfacility $347professional $132

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
$102.33
Median
$467.74
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$131.83
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$218.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$138.04
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Sentara
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,096.48
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$245.47

Where Virginia 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

Virginia· 37th of 51

$479

$132 physician + $347 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.