12052 (HCPCS) by state — Price Transparency

HCPCS · across United States

12052 — Intmd Rpr Face/mm 2.6-5.0 Cm

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

$536 National median

$363 – $916 IQR (p25 – p75)

3,488 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $588.

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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 12052 (HCPCS), with interquartile range
State	Median	p25	p75
PR	$293	$249	$293
MI	$340	$207	$450
AS	$349	$259	$440
KY	$367	$221	$498
NH	$370	$215	$728
AL	$397	$335	$757
IA	$406	$268	$613
TN	$410	$351	$878
VT	$410	$323	$609
WV	$415	$351	$485
SC	$424	$380	$848
MS	$426	$304	$658
TX	$429	$288	$822
IN	$430	$218	$774
PA	$436	$339	$892
AZ	$436	$347	$854
ME	$438	$309	$814
MT	$449	$345	$838
RI	$457	$411	$659
AR	$464	$296	$706
MO	$467	$300	$734
UT	$471	$244	$808
KS	$472	$344	$731
DE	$474	$439	$680
CT	$478	$346	$821
NC	$489	$375	$593
MA	$493	$343	$873
ID	$518	$306	$739
VA	$518	$397	$1,166
WA	$532	$475	$1,032
NE	$547	$375	$797
HI	$549	$440	$1,137
LA	$550	$350	$959
CA	$552	$463	$1,291
ND	$560	$410	$723
OH	$561	$370	$1,090
OK	$576	$349	$722
OR	$583	$470	$904
IL	$585	$415	$900
MD	$590	$387	$858
NV	$605	$386	$1,134
VI	$606	$513	$778
NY	$624	$341	$1,069
GA	$653	$398	$1,917
CO	$678	$384	$970
MN	$689	$509	$1,014
DC	$697	$432	$1,005
WI	$712	$601	$1,475
WY	$720	$415	$856
NM	$723	$417	$1,571
SD	$726	$427	$991
NJ	$799	$458	$1,840
FL	$802	$420	$1,627
AK	$994	$451	$1,295

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

PR	$293	$249	$293	$152	$322	4	10	17
MI	$340	$207	$450	<$1	$4,486	94	637	5,701
AS	$349	$259	$440	$259	$440	1 ⚠ thin data	1	6
KY	$367	$221	$498	$26	$10,784	67	170	2,960
NH	$370	$215	$728	$55	$15,119	16	100	1,134
AL	$397	$335	$757	$1	$44,477	59	286	1,721
IA	$406	$268	$613	$1	$3,702	93	309	4,208
TN	$410	$351	$878	<$1	$34,617	78	261	4,891
VT	$410	$323	$609	<$1	$1,715	12	53	741
WV	$415	$351	$485	$25	$4,550	27	136	1,492
SC	$424	$380	$848	$1	$14,554	51	177	2,527
MS	$426	$304	$658	$3	$10,115	68	599	4,016
TX	$429	$288	$822	<$1	$68,734	354	1,039	16,314
IN	$430	$218	$774	$30	$18,881	74	373	4,530
PA	$436	$339	$892	$1	$27,321	117	373	7,338
AZ	$436	$347	$854	$80	$15,457	49	489	1,994
ME	$438	$309	$814	$10	$2,463	30	39	958
MT	$449	$345	$838	$53	$1,702	42	312	1,561
RI	$457	$411	$659	$97	$2,567	9	34	228
AR	$464	$296	$706	$5	$24,696	56	389	2,837
MO	$467	$300	$734	$16	$51,555	67	333	6,867
UT	$471	$244	$808	$9	$4,460	39	185	2,968
KS	$472	$344	$731	$6	$82,844	107	492	3,798
DE	$474	$439	$680	$303	$2,121	5	9	33
CT	$478	$346	$821	$35	$6,273	23	61	594
NC	$489	$375	$593	<$1	$10,074	67	181	3,652
MA	$493	$343	$873	$1	$13,614	48	438	3,527
ID	$518	$306	$739	$50	$2,600	35	192	1,679
VA	$518	$397	$1,166	$28	$12,401	51	95	2,041
WA	$532	$475	$1,032	$25	$13,212	75	262	5,740
NE	$547	$375	$797	$5	$6,796	74	177	2,582
HI	$549	$440	$1,137	<$1	$2,224	18	28	597
LA	$550	$350	$959	$4	$17,881	73	553	4,844
CA	$552	$463	$1,291	<$1	$50,000	256	1,378	14,381
ND	$560	$410	$723	$119	$2,000	30	73	800
OH	$561	$370	$1,090	<$1	$28,534	101	520	5,106
OK	$576	$349	$722	$67	$13,629	84	297	3,513
OR	$583	$470	$904	$8	$7,512	48	469	4,089
IL	$585	$415	$900	$5	$19,121	131	586	8,842
MD	$590	$387	$858	$202	$2,315	4	20	89
NV	$605	$386	$1,134	$34	$7,328	29	278	1,376
VI	$606	$513	$778	$388	$1,158	1 ⚠ thin data	6	24
NY	$624	$341	$1,069	$16	$35,000	134	563	12,947
GA	$653	$398	$1,917	$36	$50,000	87	173	2,583
CO	$678	$384	$970	$4	$8,652	74	289	3,918
MN	$689	$509	$1,014	$49	$50,000	98	420	11,322
DC	$697	$432	$1,005	$171	$7,727	4	18	80
WI	$712	$601	$1,475	$3	$16,897	103	552	10,851
WY	$720	$415	$856	$16	$1,303	23	102	569
NM	$723	$417	$1,571	$91	$21,576	23	151	590
SD	$726	$427	$991	$9	$5,411	39	138	1,765
NJ	$799	$458	$1,840	$17	$12,000	55	323	6,094
FL	$802	$420	$1,627	<$1	$149,248	164	872	10,465
AK	$994	$451	$1,295	$72	$6,642	10	31	139