12053 (HCPCS) by state — Price Transparency

HCPCS · across United States

12053 — Intmd Rpr Face/mm 5.1-7.5 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).

$578 National median

$375 – $975 IQR (p25 – p75)

3,267 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: $654.

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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 12053 (HCPCS), with interquartile range
State	Median	p25	p75
NJ	$1,365	$678	$3,236
AK	$1,024	$613	$1,605
MN	$838	$619	$1,303
FL	$804	$425	$1,627
GA	$790	$420	$2,064
NM	$732	$418	$1,582
SD	$728	$428	$1,106
WI	$711	$685	$1,647
NY	$708	$422	$1,266
CO	$694	$387	$1,043
HI	$660	$474	$1,195
NV	$657	$395	$950
MD	$654	$511	$930
WY	$653	$430	$928
OR	$650	$470	$1,061
WA	$627	$475	$1,058
KS	$603	$369	$962
VA	$595	$400	$1,122
VI	$595	$535	$939
CA	$594	$498	$1,610
ID	$592	$353	$894
IL	$590	$416	$872
NE	$584	$386	$879
ND	$565	$412	$810
OK	$563	$356	$722
OH	$555	$377	$1,368
DC	$540	$432	$779
UT	$530	$281	$666
MT	$529	$422	$741
CT	$487	$366	$874
MA	$474	$338	$745
DE	$474	$439	$703
NC	$471	$368	$593
RI	$467	$411	$782
MO	$460	$296	$803
LA	$456	$343	$865
PA	$452	$362	$1,009
TX	$438	$307	$896
IN	$432	$234	$753
AZ	$426	$347	$659
TN	$423	$359	$890
ME	$419	$273	$916
NH	$419	$247	$797
IA	$415	$273	$654
WV	$411	$336	$481
SC	$410	$369	$663
VT	$407	$321	$576
AL	$392	$325	$751
AR	$388	$264	$659
MS	$384	$286	$762
MI	$372	$212	$528
AS	$359	$278	$440
KY	$357	$228	$477
PR	$293	$249	$293

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	$1,365	$678	$3,236	$48	$12,000	53	324	6,075
AK	$1,024	$613	$1,605	$72	$6,753	10	31	160
MN	$838	$619	$1,303	$74	$50,000	94	406	10,692
FL	$804	$425	$1,627	<$1	$149,248	160	826	9,985
GA	$790	$420	$2,064	$50	$50,000	97	174	2,915
NM	$732	$418	$1,582	$91	$35,235	21	138	465
SD	$728	$428	$1,106	$9	$5,411	32	131	1,408
WI	$711	$685	$1,647	$3	$16,897	102	551	8,879
NY	$708	$422	$1,266	$18	$35,000	128	607	10,748
CO	$694	$387	$1,043	$4	$8,652	74	283	3,770
HI	$660	$474	$1,195	$141	$2,224	17	29	375
NV	$657	$395	$950	$59	$7,328	27	266	1,195
MD	$654	$511	$930	$274	$3,345	4	20	61
WY	$653	$430	$928	$18	$1,309	21	100	454
OR	$650	$470	$1,061	$9	$7,246	42	424	3,354
WA	$627	$475	$1,058	$25	$13,212	72	247	5,309
KS	$603	$369	$962	$6	$96,125	99	423	3,101
VA	$595	$400	$1,122	$29	$11,338	50	92	1,530
VI	$595	$535	$939	$465	$1,158	1 ⚠ thin data	6	18
CA	$594	$498	$1,610	<$1	$50,000	243	1,192	12,957
ID	$592	$353	$894	$131	$2,132	33	149	1,410
IL	$590	$416	$872	$6	$20,936	120	554	6,733
NE	$584	$386	$879	$5	$6,796	61	162	2,212
ND	$565	$412	$810	$128	$2,000	26	71	633
OK	$563	$356	$722	$78	$5,911	76	292	2,933
OH	$555	$377	$1,368	<$1	$28,448	93	411	4,284
DC	$540	$432	$779	$171	$7,727	4	18	80
UT	$530	$281	$666	$11	$4,460	38	171	2,773
MT	$529	$422	$741	$53	$1,507	39	308	1,350
CT	$487	$366	$874	$35	$6,273	23	61	591
MA	$474	$338	$745	$1	$13,614	46	436	3,035
DE	$474	$439	$703	$349	$2,138	5	9	33
NC	$471	$368	$593	<$1	$10,074	62	176	3,346
RI	$467	$411	$782	$97	$2,567	9	34	212
MO	$460	$296	$803	$21	$10,854	60	292	5,033
LA	$456	$343	$865	$5	$17,881	64	503	4,131
PA	$452	$362	$1,009	$1	$45,754	113	370	6,664
TX	$438	$307	$896	<$1	$22,109	331	989	15,260
IN	$432	$234	$753	$30	$8,320	64	379	4,017
AZ	$426	$347	$659	$56	$41,821	44	468	1,914
TN	$423	$359	$890	<$1	$21,721	75	250	4,523
ME	$419	$273	$916	$35	$2,390	29	35	856
NH	$419	$247	$797	$61	$8,965	16	101	1,061
IA	$415	$273	$654	$1	$3,702	83	307	3,441
WV	$411	$336	$481	$25	$2,792	24	121	1,245
SC	$410	$369	$663	$1	$14,554	49	175	2,204
VT	$407	$321	$576	<$1	$2,356	11	52	618
AL	$392	$325	$751	$1	$214,418	56	275	1,601
AR	$388	$264	$659	$24	$10,533	48	369	1,989
MS	$384	$286	$762	$3	$23,738	60	542	3,188
MI	$372	$212	$528	<$1	$6,677	90	632	5,332
AS	$359	$278	$440	$278	$440	1 ⚠ thin data	1	6
KY	$357	$228	$477	$30	$10,784	57	161	2,296
PR	$293	$249	$293	$135	$362	4	10	17