11403 (HCPCS) by state — Price Transparency

HCPCS · across United States

11403 — Exc Tr-ext B9+marg 2.1-3cm

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

$774 National median

$422 – $1,501 IQR (p25 – p75)

3,330 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

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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 11403 (HCPCS), with interquartile range
State	Median	p25	p75
NJ	$2,016	$816	$3,168
GA	$1,843	$711	$3,517
WI	$1,427	$723	$1,464
FL	$1,353	$727	$2,473
MD	$1,324	$743	$1,592
VI	$1,200	$1,153	$1,304
RI	$1,055	$750	$1,533
OH	$1,047	$652	$1,562
SC	$1,026	$681	$1,854
AK	$1,021	$765	$1,297
LA	$1,011	$542	$1,550
NC	$965	$688	$1,111
CT	$961	$442	$2,138
CA	$952	$588	$2,432
DC	$939	$756	$1,467
WA	$902	$718	$1,456
VA	$879	$680	$1,956
MA	$849	$392	$1,353
HI	$834	$270	$1,318
NY	$833	$265	$1,564
OR	$822	$381	$1,981
DE	$816	$765	$1,195
SD	$792	$528	$1,769
MN	$774	$498	$774
IL	$772	$488	$2,111
NV	$766	$590	$1,588
AZ	$756	$475	$1,500
NM	$742	$581	$2,017
PA	$728	$405	$1,423
MS	$721	$552	$1,152
TX	$716	$255	$1,453
WV	$709	$443	$817
ID	$700	$251	$1,306
ME	$695	$309	$1,062
TN	$692	$581	$1,312
OK	$691	$274	$1,341
AL	$680	$624	$1,721
MO	$673	$397	$1,445
KS	$670	$258	$1,191
AR	$669	$393	$1,125
NE	$666	$375	$1,279
KY	$664	$360	$1,103
CO	$647	$334	$1,169
MI	$628	$260	$800
PR	$623	$467	$725
IN	$612	$140	$1,204
ND	$548	$301	$986
IA	$542	$270	$870
MT	$493	$253	$933
WY	$480	$308	$657
AS	$469	$188	$968
VT	$389	$196	$701
UT	$345	$150	$717
NH	$263	$147	$744

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

NJ	$2,016	$816	$3,168	$5	$16,802	50	271	4,894
GA	$1,843	$711	$3,517	$18	$50,000	91	142	2,455
WI	$1,427	$723	$1,464	$2	$16,897	103	504	5,309
FL	$1,353	$727	$2,473	<$1	$168,520	158	772	7,787
MD	$1,324	$743	$1,592	$250	$3,707	6	21	60
VI	$1,200	$1,153	$1,304	$1,091	$1,402	1 ⚠ thin data	6	6
RI	$1,055	$750	$1,533	$54	$9,499	8	46	253
OH	$1,047	$652	$1,562	<$1	$38,751	116	477	5,916
SC	$1,026	$681	$1,854	$1	$10,110	51	139	2,191
AK	$1,021	$765	$1,297	$72	$6,642	10	31	158
LA	$1,011	$542	$1,550	$35	$17,881	63	333	2,991
NC	$965	$688	$1,111	<$1	$12,777	78	190	3,581
CT	$961	$442	$2,138	$86	$10,430	25	61	490
CA	$952	$588	$2,432	<$1	$50,000	239	1,297	13,061
DC	$939	$756	$1,467	$222	$7,727	4	18	81
WA	$902	$718	$1,456	$30	$13,212	75	279	5,277
VA	$879	$680	$1,956	$13	$43,016	59	88	1,750
MA	$849	$392	$1,353	$1	$18,842	47	416	2,508
HI	$834	$270	$1,318	<$1	$8,198	15	41	338
NY	$833	$265	$1,564	<$1	$35,000	127	492	11,274
OR	$822	$381	$1,981	$6	$9,178	42	437	3,251
DE	$816	$765	$1,195	$191	$3,694	4	8	32
SD	$792	$528	$1,769	$6	$7,679	27	132	801
MN	$774	$498	$774	$18	$50,000	92	410	7,769
IL	$772	$488	$2,111	$8	$20,342	124	500	6,159
NV	$766	$590	$1,588	$82	$19,682	25	255	1,150
AZ	$756	$475	$1,500	$51	$64,663	55	460	2,150
NM	$742	$581	$2,017	$125	$39,280	22	107	532
PA	$728	$405	$1,423	$1	$38,895	111	346	5,993
MS	$721	$552	$1,152	$2	$46,766	56	358	2,694
TX	$716	$255	$1,453	<$1	$55,006	326	842	14,901
WV	$709	$443	$817	$30	$36,333	25	122	1,258
ID	$700	$251	$1,306	$25	$4,572	34	192	1,632
ME	$695	$309	$1,062	$74	$4,291	30	37	757
TN	$692	$581	$1,312	<$1	$27,449	72	263	4,591
OK	$691	$274	$1,341	$1	$49,373	62	226	1,561
AL	$680	$624	$1,721	$1	$72,359	59	295	1,651
MO	$673	$397	$1,445	$8	$56,438	79	380	7,122
KS	$670	$258	$1,191	$4	$11,847	103	406	3,260
AR	$669	$393	$1,125	$17	$16,539	49	351	2,507
NE	$666	$375	$1,279	$5	$11,679	67	163	2,201
KY	$664	$360	$1,103	$34	$14,167	59	160	2,211
CO	$647	$334	$1,169	$10	$8,652	73	253	2,898
MI	$628	$260	$800	<$1	$12,964	95	642	6,344
PR	$623	$467	$725	$86	$791	4	25	35
IN	$612	$140	$1,204	$23	$30,777	78	395	4,202
ND	$548	$301	$986	$50	$2,756	24	54	600
IA	$542	$270	$870	$1	$4,938	85	297	3,421
MT	$493	$253	$933	$50	$2,118	36	301	1,116
WY	$480	$308	$657	$13	$3,318	19	87	261
AS	$469	$188	$968	$159	$1,653	1 ⚠ thin data	1	12
VT	$389	$196	$701	<$1	$1,649	11	51	464
UT	$345	$150	$717	$115	$19,973	37	110	1,599
NH	$263	$147	$744	$30	$11,045	15	97	982