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).

$598 National median

$383 – $1,057 IQR (p25 – p75)

3,245 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 12054 (HCPCS), with interquartile range
State	Median	p25	p75
PR	$293	$260	$293
MI	$340	$199	$507
KY	$375	$237	$561
VT	$380	$288	$443
AR	$387	$303	$652
MS	$392	$297	$728
WV	$404	$320	$500
OH	$404	$365	$596
AL	$418	$348	$815
SC	$422	$372	$982
AZ	$426	$347	$659
IN	$430	$240	$645
IA	$435	$285	$813
AS	$440	$281	$1,296
RI	$455	$391	$641
TX	$458	$345	$948
ME	$465	$351	$1,143
LA	$468	$335	$1,000
DE	$468	$439	$686
MA	$491	$362	$679
PA	$491	$379	$1,235
CT	$500	$415	$721
TN	$511	$371	$1,119
UT	$513	$297	$740
NC	$519	$399	$676
NH	$524	$383	$1,157
CA	$553	$487	$1,101
WA	$566	$475	$1,289
ID	$578	$382	$850
ND	$583	$420	$797
MT	$585	$432	$991
NE	$597	$389	$992
IL	$598	$425	$947
VI	$602	$265	$972
KS	$610	$377	$976
NM	$625	$406	$1,892
OK	$646	$380	$814
OR	$664	$470	$1,186
NY	$673	$380	$1,200
MO	$685	$377	$1,048
WY	$693	$441	$990
NV	$711	$442	$1,769
DC	$738	$438	$1,082
CO	$739	$402	$1,248
VA	$741	$416	$1,462
FL	$748	$410	$1,950
GA	$760	$408	$2,232
HI	$763	$474	$1,664
MD	$820	$511	$1,036
WI	$878	$826	$2,113
SD	$880	$445	$1,353
AK	$888	$571	$1,682
GU	$916	$916	$916
MN	$1,000	$731	$1,498
NJ	$1,581	$662	$3,168

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	$260	$293	$141	$378	4	10	17
MI	$340	$199	$507	<$1	$2,740	83	423	3,892
KY	$375	$237	$561	$33	$5,703	59	157	2,070
VT	$380	$288	$443	<$1	$1,975	12	53	658
AR	$387	$303	$652	$29	$3,487	46	346	1,634
MS	$392	$297	$728	$3	$54,238	61	571	3,719
WV	$404	$320	$500	$25	$2,792	27	113	994
OH	$404	$365	$596	<$1	$40,117	95	462	4,273
AL	$418	$348	$815	$1	$29,179	60	308	1,768
SC	$422	$372	$982	$1	$15,483	49	182	2,275
AZ	$426	$347	$659	$56	$22,148	41	452	1,939
IN	$430	$240	$645	$30	$4,580	67	387	3,813
IA	$435	$285	$813	$1	$4,779	77	301	3,083
AS	$440	$281	$1,296	$281	$1,296	1 ⚠ thin data	1	9
RI	$455	$391	$641	$97	$2,567	9	34	231
TX	$458	$345	$948	<$1	$27,291	328	1,081	15,794
ME	$465	$351	$1,143	$37	$3,998	29	38	762
LA	$468	$335	$1,000	$5	$17,881	66	458	4,377
DE	$468	$439	$686	$362	$2,121	4	8	32
MA	$491	$362	$679	$1	$50,000	45	419	2,841
PA	$491	$379	$1,235	$1	$42,201	122	366	7,038
CT	$500	$415	$721	$35	$11,934	22	60	549
TN	$511	$371	$1,119	$74	$61,675	78	246	4,610
UT	$513	$297	$740	$11	$6,405	37	155	2,954
NC	$519	$399	$676	<$1	$5,070	63	181	3,407
NH	$524	$383	$1,157	$68	$7,243	16	101	804
CA	$553	$487	$1,101	<$1	$50,000	247	1,278	12,204
WA	$566	$475	$1,289	$51	$16,508	73	256	4,990
ID	$578	$382	$850	$82	$2,298	36	216	1,547
ND	$583	$420	$797	$129	$2,500	28	75	697
MT	$585	$432	$991	$53	$1,598	37	279	1,248
NE	$597	$389	$992	$5	$11,679	57	161	2,098
IL	$598	$425	$947	$7	$45,293	125	570	5,873
VI	$602	$265	$972	$237	$1,158	1 ⚠ thin data	6	12
KS	$610	$377	$976	$6	$119,295	86	385	2,576
NM	$625	$406	$1,892	$91	$52,615	20	134	421
OK	$646	$380	$814	$85	$5,617	78	268	2,801
OR	$664	$470	$1,186	$9	$13,592	42	434	3,393
NY	$673	$380	$1,200	$18	$35,000	130	604	12,058
MO	$685	$377	$1,048	$40	$52,278	56	287	3,918
WY	$693	$441	$990	$22	$1,437	21	101	439
NV	$711	$442	$1,769	$52	$6,515	27	270	1,181
DC	$738	$438	$1,082	$298	$6,265	4	18	72
CO	$739	$402	$1,248	$4	$9,888	72	276	3,154
VA	$741	$416	$1,462	$42	$7,166	51	95	1,925
FL	$748	$410	$1,950	<$1	$149,248	155	825	9,299
GA	$760	$408	$2,232	$36	$50,000	85	185	2,590
HI	$763	$474	$1,664	<$1	$4,720	16	31	445
MD	$820	$511	$1,036	$319	$2,582	2 ⚠ thin data	19	56
WI	$878	$826	$2,113	$3	$16,897	100	542	9,608
SD	$880	$445	$1,353	$10	$20,392	32	132	1,388
AK	$888	$571	$1,682	$72	$15,448	9	30	132
GU	$916	$916	$916	$916	$916	1 ⚠ thin data	4	4
MN	$1,000	$731	$1,498	$74	$50,000	92	409	10,340
NJ	$1,581	$662	$3,168	$20	$12,000	54	325	5,487