12004 (CPT) by state — Price Transparency

CPT · across United States

12004 — Rpr S/n/ax/gen/trk7.6-12.5cm

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

$319 National median

$197 – $586 IQR (p25 – p75)

3,630 hospitals filing

55 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 12004 (CPT), with interquartile range
State	Median	p25	p75
AK	$664	$318	$949
NJ	$650	$290	$1,063
DE	$612	$224	$654
WI	$545	$461	$1,049
VA	$530	$208	$910
HI	$514	$253	$712
GU	$456	$456	$456
MN	$444	$314	$630
SD	$436	$218	$578
FL	$428	$212	$1,271
CO	$399	$200	$634
GA	$394	$198	$1,192
MT	$383	$169	$563
WY	$382	$198	$643
NY	$371	$197	$770
NV	$361	$218	$681
IL	$361	$217	$595
MD	$359	$254	$555
MA	$343	$237	$535
WA	$329	$224	$657
OK	$324	$189	$453
ND	$323	$229	$421
VI	$312	$276	$332
CT	$311	$203	$521
ME	$308	$196	$513
NC	$293	$218	$500
KS	$292	$191	$543
CA	$291	$247	$752
MO	$287	$192	$511
IN	$284	$170	$497
UT	$283	$128	$407
ID	$282	$179	$427
DC	$282	$214	$400
RI	$280	$206	$659
TX	$277	$199	$542
NE	$265	$184	$423
OR	$264	$219	$563
OH	$255	$191	$365
LA	$248	$172	$410
PA	$247	$189	$613
KY	$236	$162	$406
TN	$233	$182	$564
IA	$233	$153	$373
SC	$228	$190	$520
MS	$228	$158	$367
AR	$219	$180	$452
NH	$214	$123	$477
AZ	$214	$174	$390
AL	$210	$177	$361
VT	$209	$160	$368
NM	$205	$136	$560
WV	$201	$157	$353
AS	$197	$89	$411
MI	$195	$94	$310
PR	$131	$123	$147

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

AK	$664	$318	$949	$72	$6,642	12	33	181
NJ	$650	$290	$1,063	$12	$12,000	60	294	4,285
DE	$612	$224	$654	$119	$1,047	4	19	52
WI	$545	$461	$1,049	$1	$16,897	110	553	10,229
VA	$530	$208	$910	$66	$11,338	51	96	2,096
HI	$514	$253	$712	$71	$2,783	19	35	643
GU	$456	$456	$456	$456	$456	1 ⚠ thin data	4	4
MN	$444	$314	$630	$20	$50,000	101	392	11,355
SD	$436	$218	$578	$3	$5,410	45	138	1,891
FL	$428	$212	$1,271	<$1	$122,320	170	906	10,564
CO	$399	$200	$634	$8	$6,419	79	314	3,921
GA	$394	$198	$1,192	$27	$37,500	110	224	3,438
MT	$383	$169	$563	$41	$13,091	45	327	2,470
WY	$382	$198	$643	$10	$1,066	22	103	653
NY	$371	$197	$770	$3	$76,965	139	572	12,320
NV	$361	$218	$681	$12	$7,328	31	302	1,451
IL	$361	$217	$595	$3	$10,175	133	606	8,354
MD	$359	$254	$555	$124	$1,795	3	20	85
MA	$343	$237	$535	$1	$50,000	48	361	2,842
WA	$329	$224	$657	$24	$13,212	81	290	4,899
OK	$324	$189	$453	<$1	$12,396	93	322	3,631
ND	$323	$229	$421	$41	$2,000	29	76	887
VI	$312	$276	$332	$246	$395	1 ⚠ thin data	6	12
CT	$311	$203	$521	$25	$6,273	24	61	667
ME	$308	$196	$513	$40	$2,268	31	36	922
NC	$293	$218	$500	$48	$10,074	71	201	3,806
KS	$292	$191	$543	$2	$77,875	108	465	3,763
CA	$291	$247	$752	<$1	$50,000	260	1,538	14,865
MO	$287	$192	$511	$26	$30,000	71	364	5,674
IN	$284	$170	$497	$12	$14,356	70	410	4,309
UT	$283	$128	$407	$4	$4,460	42	188	3,170
ID	$282	$179	$427	$51	$2,120	36	268	1,850
DC	$282	$214	$400	$133	$2,878	4	18	72
RI	$280	$206	$659	$63	$5,101	9	52	293
TX	$277	$199	$542	<$1	$22,109	353	1,041	16,116
NE	$265	$184	$423	$3	$7,437	74	183	2,686
OR	$264	$219	$563	$3	$7,246	49	477	3,899
OH	$255	$191	$365	<$1	$12,878	100	528	5,419
LA	$248	$172	$410	$2	$17,881	80	584	5,075
PA	$247	$189	$613	$1	$12,413	123	377	7,135
KY	$236	$162	$406	$22	$10,784	69	170	2,993
TN	$233	$182	$564	<$1	$30,440	91	292	4,975
IA	$233	$153	$373	<$1	$3,702	99	311	4,310
SC	$228	$190	$520	<$1	$14,554	51	191	2,325
MS	$228	$158	$367	<$1	$14,227	65	594	4,111
AR	$219	$180	$452	$10	$19,758	61	420	2,889
NH	$214	$123	$477	$30	$8,965	19	101	1,042
AZ	$214	$174	$390	$63	$15,287	49	478	2,573
AL	$210	$177	$361	$1	$25,048	59	285	1,704
VT	$209	$160	$368	$46	$1,107	12	53	626
NM	$205	$136	$560	$62	$14,041	29	165	840
WV	$201	$157	$353	$25	$1,787	33	137	1,620
AS	$197	$89	$411	$89	$411	1 ⚠ thin data	1	9
MI	$195	$94	$310	<$1	$2,546	89	559	5,310
PR	$131	$123	$147	$99	$162	4	10	17