0656T (CPT) by state — Price Transparency

CPT · across United States

0656T — Ant Lmbr Vrt Bdy Teth <7 Seg

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$10,300 National median

$4,609 – $17,471 IQR (p25 – p75)

619 hospitals filing

45 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $4,986.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 0656T (CPT), with interquartile range
State	Median	p25	p75
MT	$624	$624	$20,472
MS	$1,182	$1,182	$5,130
RI	$2,852	$1,855	$3,913
LA	$2,925	$1,147	$3,293
DC	$4,129	$2,687	$5,571
NV	$5,637	$4,396	$7,759
TN	$6,097	$2,648	$9,973
KS	$6,596	$4,785	$10,352
NY	$6,670	$4,609	$10,371
AL	$7,258	$3,695	$12,246
OH	$8,789	$3,595	$17,644
MI	$9,137	$5,602	$16,608
TX	$9,586	$4,036	$17,966
NE	$9,638	$7,987	$11,445
NH	$10,005	$6,736	$17,288
CO	$10,155	$4,589	$13,580
CT	$10,492	$9,469	$17,914
VA	$10,993	$7,081	$14,714
MO	$11,043	$5,883	$17,562
FL	$11,318	$7,219	$15,598
PA	$11,373	$4,244	$14,300
GA	$12,228	$6,766	$17,420
WV	$12,493	$12,370	$16,777
SC	$12,594	$8,045	$13,683
KY	$12,667	$7,797	$13,301
AZ	$12,764	$5,975	$19,079
AR	$13,074	$12,981	$16,498
MN	$13,261	$3,163	$13,553
ME	$13,340	$13,340	$16,530
ND	$13,513	$13,513	$23,737
AK	$13,873	$10,185	$17,237
WY	$14,103	$7,360	$18,306
CA	$14,137	$6,888	$20,015
IN	$14,156	$7,832	$22,781
IL	$15,086	$3,696	$18,790
NJ	$16,158	$6,762	$20,831
OK	$16,864	$6,273	$17,369
WI	$17,441	$17,086	$20,314
UT	$17,753	$14,211	$18,641
NC	$18,272	$13,324	$19,078
ID	$18,303	$18,122	$19,482
VT	$20,266	$20,266	$20,266
MA	$20,731	$3,126	$33,328
OR	$20,756	$19,489	$21,828
WA	$21,277	$6,828	$33,596

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

MT	$624	$624	$20,472	$547	$37,160	2 ⚠ thin data	9	38
MS	$1,182	$1,182	$5,130	$553	$59,060	11	39	189
RI	$2,852	$1,855	$3,913	$764	$4,964	2 ⚠ thin data	2	6
LA	$2,925	$1,147	$3,293	$916	$14,289	9	26	126
DC	$4,129	$2,687	$5,571	$1,244	$7,013	1 ⚠ thin data	2	2
NV	$5,637	$4,396	$7,759	$3,129	$19,078	4	4	28
TN	$6,097	$2,648	$9,973	$648	$21,485	24	42	697
KS	$6,596	$4,785	$10,352	$3,400	$12,518	4	2	23
NY	$6,670	$4,609	$10,371	$2,130	$100,462	34	69	662
AL	$7,258	$3,695	$12,246	$1	$30,429	7	10	53
OH	$8,789	$3,595	$17,644	$940	$76,976	18	20	98
MI	$9,137	$5,602	$16,608	$1,748	$29,700	12	47	246
TX	$9,586	$4,036	$17,966	$132	$70,455	85	32	1,375
NE	$9,638	$7,987	$11,445	$1,924	$27,311	3	25	45
NH	$10,005	$6,736	$17,288	$775	$37,298	6	13	126
CO	$10,155	$4,589	$13,580	$187	$38,808	26	18	400
CT	$10,492	$9,469	$17,914	$4,409	$17,914	4	4	9
VA	$10,993	$7,081	$14,714	$2,968	$24,348	11	9	112
MO	$11,043	$5,883	$17,562	$1,403	$32,490	10	15	97
FL	$11,318	$7,219	$15,598	$215	$49,438	66	25	337
PA	$11,373	$4,244	$14,300	$40	$33,339	22	34	293
GA	$12,228	$6,766	$17,420	$424	$37,284	10	18	123
WV	$12,493	$12,370	$16,777	$12,370	$17,660	3	8	18
SC	$12,594	$8,045	$13,683	$10	$32,222	15	23	116
KY	$12,667	$7,797	$13,301	$2,095	$30,867	16	22	363
AZ	$12,764	$5,975	$19,079	$2,130	$28,439	5	13	44
AR	$13,074	$12,981	$16,498	$12,452	$19,922	1 ⚠ thin data	8	8
MN	$13,261	$3,163	$13,553	$359	$82,992	27	23	237
ME	$13,340	$13,340	$16,530	$7,000	$85,818	12	7	62
ND	$13,513	$13,513	$23,737	$600	$42,579	5	27	54
AK	$13,873	$10,185	$17,237	$2,236	$18,316	2 ⚠ thin data	1	10
WY	$14,103	$7,360	$18,306	$1,265	$33,313	2 ⚠ thin data	14	14
CA	$14,137	$6,888	$20,015	$1,072	$61,581	33	96	415
IN	$14,156	$7,832	$22,781	$316	$46,377	11	28	88
IL	$15,086	$3,696	$18,790	$970	$36,342	23	25	182
NJ	$16,158	$6,762	$20,831	$974	$59,313	9	17	66
OK	$16,864	$6,273	$17,369	$404	$36,931	2 ⚠ thin data	11	21
WI	$17,441	$17,086	$20,314	$1,272	$27,761	29	21	359
UT	$17,753	$14,211	$18,641	$5,382	$20,915	22	13	300
NC	$18,272	$13,324	$19,078	$4,086	$48,188	7	19	42
ID	$18,303	$18,122	$19,482	$15,485	$65,240	3	10	13
VT	$20,266	$20,266	$20,266	$496	$20,266	1 ⚠ thin data	9	10
MA	$20,731	$3,126	$33,328	$2,733	$66,433	6	26	126
OR	$20,756	$19,489	$21,828	$14,884	$75,375	3	12	32
WA	$21,277	$6,828	$33,596	$4,811	$86,364	10	12	28