12054 (HCPCS) by state — Price Transparency

HCPCS · across United States

12054 — Intmd Rpr Face/mm 7.6-12.5cm

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

$599 National median

$384 – $1,063 IQR (p25 – p75)

3,182 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: $706.

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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 12054 (HCPCS), with interquartile range
State	Median	p25	p75
NJ	$1,598	$662	$3,168
MN	$1,000	$732	$1,498
AK	$888	$571	$1,682
SD	$880	$443	$1,353
WI	$878	$823	$2,113
MD	$820	$511	$1,036
GA	$795	$418	$2,232
HI	$766	$474	$1,664
VA	$764	$416	$1,684
FL	$748	$409	$1,950
NV	$741	$442	$1,769
DC	$738	$438	$1,082
CO	$711	$402	$1,246
MO	$690	$377	$1,053
WY	$686	$436	$970
NY	$673	$406	$1,265
OR	$664	$470	$1,186
OK	$646	$380	$795
KS	$622	$377	$993
NM	$620	$406	$1,892
NE	$607	$389	$1,007
IL	$604	$425	$959
VI	$602	$265	$972
ND	$580	$420	$797
ID	$578	$385	$850
CA	$549	$486	$1,041
WA	$546	$475	$1,264
MT	$529	$434	$782
NH	$524	$383	$1,130
NC	$519	$399	$676
MA	$502	$362	$694
CT	$500	$415	$721
TN	$497	$369	$1,119
PA	$495	$372	$1,266
LA	$481	$328	$1,044
UT	$473	$297	$691
DE	$468	$439	$686
TX	$458	$345	$948
RI	$457	$389	$664
SC	$444	$385	$1,071
AS	$440	$281	$1,296
IA	$439	$285	$836
IN	$439	$240	$774
AZ	$426	$347	$693
ME	$425	$354	$984
OH	$411	$368	$615
AL	$408	$346	$848
WV	$403	$304	$485
MS	$392	$295	$673
AR	$390	$310	$659
VT	$380	$288	$443
KY	$375	$237	$546
MI	$338	$199	$508
PR	$293	$260	$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	$1,598	$662	$3,168	$20	$12,000	53	325	5,494
MN	$1,000	$732	$1,498	$74	$50,000	92	403	10,308
AK	$888	$571	$1,682	$72	$15,448	9	30	132
SD	$880	$443	$1,353	$10	$20,392	31	132	1,361
WI	$878	$823	$2,113	$3	$16,897	99	539	9,189
MD	$820	$511	$1,036	$319	$2,582	2 ⚠ thin data	19	56
GA	$795	$418	$2,232	$36	$50,000	82	162	2,532
HI	$766	$474	$1,664	<$1	$4,720	16	31	428
VA	$764	$416	$1,684	$42	$7,166	51	94	1,642
FL	$748	$409	$1,950	<$1	$149,248	152	813	8,970
NV	$741	$442	$1,769	$52	$28,516	27	267	1,205
DC	$738	$438	$1,082	$298	$6,265	4	18	72
CO	$711	$402	$1,246	$4	$9,888	72	260	3,199
MO	$690	$377	$1,053	$17	$52,278	55	278	3,892
WY	$686	$436	$970	$22	$1,418	21	100	414
NY	$673	$406	$1,265	$18	$35,000	121	575	10,736
OR	$664	$470	$1,186	$9	$13,592	43	433	3,401
OK	$646	$380	$795	$85	$5,617	77	268	2,759
KS	$622	$377	$993	$6	$119,295	86	382	2,563
NM	$620	$406	$1,892	$91	$52,615	20	134	420
NE	$607	$389	$1,007	$5	$11,679	56	155	2,011
IL	$604	$425	$959	$7	$45,293	123	546	5,660
VI	$602	$265	$972	$237	$1,158	1 ⚠ thin data	6	12
ND	$580	$420	$797	$129	$2,500	28	72	662
ID	$578	$385	$850	$82	$2,298	35	193	1,504
CA	$549	$486	$1,041	<$1	$50,000	244	1,193	11,807
WA	$546	$475	$1,264	$51	$16,508	72	253	5,086
MT	$529	$434	$782	$53	$1,598	37	279	1,227
NH	$524	$383	$1,130	$68	$7,243	15	101	794
NC	$519	$399	$676	<$1	$5,070	63	181	3,369
MA	$502	$362	$694	$1	$13,614	42	413	2,470
CT	$500	$415	$721	$35	$11,934	22	60	549
TN	$497	$369	$1,119	$74	$61,675	77	243	4,487
PA	$495	$372	$1,266	$1	$42,201	121	362	6,887
LA	$481	$328	$1,044	$5	$17,881	62	439	4,229
UT	$473	$297	$691	$11	$6,405	37	153	2,657
DE	$468	$439	$686	$362	$2,121	4	8	32
TX	$458	$345	$948	<$1	$27,291	323	980	15,278
RI	$457	$389	$664	$97	$2,567	9	34	206
SC	$444	$385	$1,071	$1	$15,483	47	168	2,114
AS	$440	$281	$1,296	$281	$1,296	1 ⚠ thin data	1	9
IA	$439	$285	$836	$1	$4,779	76	300	2,948
IN	$439	$240	$774	$30	$4,780	65	383	3,708
AZ	$426	$347	$693	$56	$22,148	42	449	1,864
ME	$425	$354	$984	$37	$3,998	29	38	782
OH	$411	$368	$615	<$1	$40,117	92	339	4,063
AL	$408	$346	$848	$1	$29,179	58	303	1,713
WV	$403	$304	$485	$25	$2,792	24	110	1,026
MS	$392	$295	$673	$3	$33,773	58	545	3,158
AR	$390	$310	$659	$29	$3,487	44	351	1,625
VT	$380	$288	$443	<$1	$1,975	12	53	658
KY	$375	$237	$546	$33	$5,703	57	156	2,172
MI	$338	$199	$508	<$1	$2,740	83	419	3,970
PR	$293	$260	$293	$141	$378	4	10	17