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

$374 – $974 IQR (p25 – p75)

3,322 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 12053 (HCPCS), with interquartile range
State	Median	p25	p75
NJ	$1,355	$678	$3,236
AK	$1,024	$613	$1,605
MN	$838	$617	$1,303
GU	$815	$815	$815
FL	$799	$425	$1,648
GA	$756	$412	$1,970
SD	$736	$445	$1,106
WI	$718	$686	$1,647
NY	$703	$392	$1,152
CO	$695	$402	$1,044
MD	$654	$511	$930
NV	$653	$395	$950
WY	$653	$432	$941
OR	$650	$470	$1,047
HI	$641	$474	$1,197
NM	$640	$406	$1,582
WA	$627	$475	$1,058
KS	$603	$369	$962
VI	$595	$535	$939
CA	$595	$498	$1,676
ID	$595	$346	$860
ND	$580	$415	$810
IL	$576	$416	$872
MT	$573	$422	$948
OK	$570	$360	$722
NE	$566	$381	$868
VA	$557	$397	$1,070
OH	$552	$376	$1,368
DC	$540	$432	$779
UT	$530	$281	$670
CT	$487	$366	$874
MA	$474	$338	$748
DE	$474	$439	$703
NC	$468	$371	$593
RI	$464	$411	$732
MO	$460	$296	$803
PA	$451	$362	$993
ME	$441	$268	$939
LA	$439	$343	$865
TX	$436	$307	$878
IN	$431	$234	$776
AZ	$426	$347	$659
NH	$425	$247	$819
TN	$423	$363	$872
IA	$415	$280	$656
WV	$411	$342	$499
VT	$407	$321	$576
SC	$406	$357	$634
AL	$401	$335	$751
MS	$399	$288	$762
AR	$384	$257	$644
MI	$372	$212	$529
KY	$360	$228	$479
AS	$359	$278	$440
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	$1,355	$678	$3,236	$48	$12,000	54	324	6,066
AK	$1,024	$613	$1,605	$72	$6,753	10	31	160
MN	$838	$617	$1,303	$74	$50,000	94	412	10,751
GU	$815	$815	$815	$815	$815	1 ⚠ thin data	4	4
FL	$799	$425	$1,648	<$1	$149,248	163	839	10,310
GA	$756	$412	$1,970	$50	$50,000	100	199	2,974
SD	$736	$445	$1,106	$9	$5,411	33	132	1,435
WI	$718	$686	$1,647	$3	$16,897	103	554	9,355
NY	$703	$392	$1,152	$18	$35,000	135	626	11,958
CO	$695	$402	$1,044	$4	$8,652	74	299	3,713
MD	$654	$511	$930	$274	$3,345	4	20	61
NV	$653	$395	$950	$74	$7,328	27	269	1,169
WY	$653	$432	$941	$18	$1,309	21	101	467
OR	$650	$470	$1,047	$9	$7,246	41	424	3,345
HI	$641	$474	$1,197	$141	$2,837	17	29	404
NM	$640	$406	$1,582	$91	$35,235	22	139	466
WA	$627	$475	$1,058	$25	$13,212	73	251	5,344
KS	$603	$369	$962	$6	$96,125	97	425	3,115
VI	$595	$535	$939	$465	$1,158	1 ⚠ thin data	6	18
CA	$595	$498	$1,676	<$1	$50,000	246	1,261	13,295
ID	$595	$346	$860	$131	$2,132	34	172	1,453
ND	$580	$415	$810	$128	$2,000	26	74	662
IL	$576	$416	$872	$6	$20,936	122	578	6,998
MT	$573	$422	$948	$53	$1,507	39	308	1,371
OK	$570	$360	$722	$78	$5,911	77	292	2,974
NE	$566	$381	$868	$5	$6,796	62	168	2,323
VA	$557	$397	$1,070	$29	$11,338	50	93	1,781
OH	$552	$376	$1,368	<$1	$28,448	96	437	4,327
DC	$540	$432	$779	$171	$7,727	4	18	80
UT	$530	$281	$670	$11	$4,460	38	173	3,070
CT	$487	$366	$874	$35	$6,273	23	61	591
MA	$474	$338	$748	$1	$50,000	48	442	3,201
DE	$474	$439	$703	$349	$2,138	5	9	33
NC	$468	$371	$593	<$1	$10,074	62	180	3,503
RI	$464	$411	$732	$97	$2,567	9	34	237
MO	$460	$296	$803	$21	$17,557	63	319	5,132
PA	$451	$362	$993	$1	$45,754	114	374	6,802
ME	$441	$268	$939	$35	$2,390	29	35	836
LA	$439	$343	$865	$5	$17,881	67	515	4,267
TX	$436	$307	$878	<$1	$22,109	335	1,087	15,738
IN	$431	$234	$776	$30	$8,320	66	388	4,277
AZ	$426	$347	$659	$56	$41,821	43	472	1,971
NH	$425	$247	$819	$61	$8,965	17	101	1,071
TN	$423	$363	$872	<$1	$21,721	77	257	4,665
IA	$415	$280	$656	$1	$3,702	84	309	3,561
WV	$411	$342	$499	$25	$2,792	26	126	1,244
VT	$407	$321	$576	<$1	$2,356	11	52	618
SC	$406	$357	$634	$1	$14,554	51	191	2,371
AL	$401	$335	$751	$1	$214,418	58	285	1,673
MS	$399	$288	$762	$3	$15,000	61	560	3,288
AR	$384	$257	$644	$24	$10,533	49	363	1,979
MI	$372	$212	$529	<$1	$6,677	89	634	5,205
KY	$360	$228	$479	$30	$10,784	59	162	2,192
AS	$359	$278	$440	$278	$440	1 ⚠ thin data	1	6
PR	$293	$249	$293	$135	$362	4	10	17