11621 (CPT) by state — Price Transparency

CPT · across United States

11621 — Exc S/n/h/f/g Mal+mrg 0.6-1

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

$739 National median

$371 – $1,333 IQR (p25 – p75)

2,563 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 11621 (CPT), with interquartile range
State	Median	p25	p75
UT	$177	$150	$674
NH	$320	$153	$787
IN	$394	$149	$740
MI	$493	$234	$689
MN	$504	$300	$712
IA	$506	$244	$723
PR	$517	$475	$517
WY	$521	$246	$704
MO	$587	$294	$822
WV	$593	$228	$702
NE	$632	$378	$1,498
AR	$637	$268	$888
KY	$637	$295	$1,026
KS	$643	$299	$927
CO	$643	$202	$1,368
VT	$652	$236	$741
NM	$670	$424	$762
OH	$672	$388	$1,073
TN	$674	$472	$1,312
MS	$676	$465	$1,150
ME	$681	$346	$1,133
AL	$694	$630	$1,358
ND	$704	$345	$1,242
TX	$708	$185	$1,453
IL	$733	$426	$1,151
PA	$748	$435	$1,389
ID	$749	$304	$1,447
AZ	$750	$493	$1,108
SD	$754	$460	$831
SC	$765	$650	$1,825
WA	$766	$689	$1,066
RI	$792	$713	$1,455
NY	$799	$314	$1,218
OK	$810	$669	$2,198
DE	$816	$765	$1,195
OR	$819	$422	$866
DC	$827	$742	$1,196
HI	$834	$572	$893
WI	$853	$541	$2,132
MA	$864	$756	$1,208
NV	$865	$606	$1,522
MD	$885	$669	$960
MT	$903	$320	$933
CA	$915	$514	$1,652
AS	$923	$194	$1,653
CT	$930	$597	$1,621
NC	$1,030	$710	$1,089
VA	$1,066	$640	$2,319
LA	$1,075	$685	$1,295
VI	$1,200	$1,153	$1,304
AK	$1,340	$770	$2,667
NJ	$1,435	$816	$2,433
GA	$1,843	$724	$3,185
FL	$1,905	$732	$3,010

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

UT	$177	$150	$674	$115	$4,460	34	101	1,393
NH	$320	$153	$787	$40	$21,810	14	96	930
IN	$394	$149	$740	$24	$4,580	56	323	3,301
MI	$493	$234	$689	<$1	$10,459	83	580	4,966
MN	$504	$300	$712	$27	$50,000	74	157	2,258
IA	$506	$244	$723	$1	$4,938	68	250	1,885
PR	$517	$475	$517	$434	$569	3	6	7
WY	$521	$246	$704	$12	$3,318	16	79	194
MO	$587	$294	$822	$12	$11,666	50	257	3,261
WV	$593	$228	$702	$35	$4,916	17	83	620
NE	$632	$378	$1,498	$3	$6,796	54	144	1,420
AR	$637	$268	$888	$20	$8,085	24	204	1,079
KY	$637	$295	$1,026	$43	$5,134	53	115	1,847
KS	$643	$299	$927	$4	$52,291	71	291	1,704
CO	$643	$202	$1,368	$20	$8,652	64	223	1,795
VT	$652	$236	$741	<$1	$1,949	9	45	402
NM	$670	$424	$762	$126	$21,168	14	73	328
OH	$672	$388	$1,073	<$1	$7,255	90	336	2,712
TN	$674	$472	$1,312	<$1	$107,436	54	142	3,120
MS	$676	$465	$1,150	$2	$32,303	35	213	1,080
ME	$681	$346	$1,133	$89	$4,208	28	32	458
AL	$694	$630	$1,358	$1	$108,430	46	266	1,130
ND	$704	$345	$1,242	$68	$3,461	20	50	341
TX	$708	$185	$1,453	<$1	$22,109	248	449	9,407
IL	$733	$426	$1,151	$9	$10,416	96	333	3,103
PA	$748	$435	$1,389	$12	$37,451	76	280	4,194
ID	$749	$304	$1,447	$31	$4,495	27	162	1,108
AZ	$750	$493	$1,108	$85	$4,839	36	399	1,379
SD	$754	$460	$831	$6	$4,559	20	103	480
SC	$765	$650	$1,825	$1	$50,000	44	127	1,915
WA	$766	$689	$1,066	$36	$13,212	63	170	3,575
RI	$792	$713	$1,455	$256	$4,472	7	27	150
NY	$799	$314	$1,218	$10	$35,000	92	292	7,241
OK	$810	$669	$2,198	$56	$6,630	43	81	840
DE	$816	$765	$1,195	$221	$3,694	4	8	32
OR	$819	$422	$866	$6	$9,178	33	372	1,367
DC	$827	$742	$1,196	$199	$4,902	5	16	65
HI	$834	$572	$893	$89	$2,783	8	25	108
WI	$853	$541	$2,132	$2	$16,897	83	209	2,163
MA	$864	$756	$1,208	$1	$13,614	34	278	1,067
NV	$865	$606	$1,522	$128	$6,461	15	214	678
MD	$885	$669	$960	$194	$1,959	6	18	41
MT	$903	$320	$933	$53	$2,413	27	225	712
CA	$915	$514	$1,652	<$1	$25,684	199	660	7,377
AS	$923	$194	$1,653	$194	$1,653	1 ⚠ thin data	1	6
CT	$930	$597	$1,621	$87	$8,961	19	45	389
NC	$1,030	$710	$1,089	$107	$10,074	56	150	2,460
VA	$1,066	$640	$2,319	$147	$34,938	39	74	1,036
LA	$1,075	$685	$1,295	$37	$17,881	42	215	1,932
VI	$1,200	$1,153	$1,304	$1,091	$1,402	1 ⚠ thin data	6	6
AK	$1,340	$770	$2,667	$72	$6,642	8	31	131
NJ	$1,435	$816	$2,433	$4	$18,322	44	251	3,292
GA	$1,843	$724	$3,185	$62	$50,000	63	113	1,749
FL	$1,905	$732	$3,010	<$1	$168,520	141	752	6,845