Surgical Exploration of an Arm or Leg Wound

Nationwide rates for HCPCS 20103

Opens and inspects a penetrating wound of an arm or leg, such as a stab or gunshot injury, in the operating room to see how deep it goes and what it has damaged. Dirt, debris and dead tissue are cleaned out, bleeding is controlled, and injured muscle, vessels or other structures are dealt with as they are found. It goes well beyond stitching the skin at the surface.

Rates data updated July 2026.

How much does Surgical Exploration of an Arm or Leg Wound cost?

$3,312

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,312 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $2,570 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

22% physician fee78% facility fee

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 55 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$741	$490 to $1,023
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,570	$912 to $5,129

How much rates vary

Facilitymedian $2,570 · 10th to 90th $501 to $8,511Professionalmedian $741 · 10th to 90th $339 to $1,549

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $501.19 Median $2,398.83 Typical High $8,912.51	Facility	Global	$501.19	$2,398.83	$8,912.51
BCBS Setting Facility Modifier Global Typical Low $1,819.70 Median $4,466.84 Typical High $10,000.00	Facility	Global	$1,819.70	$4,466.84	$10,000.00
Cigna Setting Facility Modifier Global Typical Low $549.54 Median $1,548.82 Typical High $4,570.88	Facility	Global	$549.54	$1,548.82	$4,570.88
United Setting Facility Modifier Global Typical Low $660.69 Median $1,949.84 Typical High $4,786.30	Facility	Global	$660.69	$1,949.84	$4,786.30

What it costs in each state

The same service costs 5.6 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

Touch or drag across the chart to see any state's rate.

CA $6,084MD $1,088

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.