12055 (HCPCS) by state — Price Transparency

HCPCS · across United States

12055 — Intmd Rpr Face/mm 12.6-20 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).

$645 National median

$399 – $1,080 IQR (p25 – p75)

2,860 hospitals filing

54 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 12055 (HCPCS), with interquartile range
State	Median	p25	p75
PR	$293	$293	$293
MI	$364	$214	$496
KY	$376	$277	$572
WV	$394	$329	$530
AS	$412	$385	$440
VT	$422	$379	$570
OH	$425	$370	$792
IN	$430	$288	$706
AL	$430	$351	$922
AZ	$434	$347	$831
AR	$440	$363	$899
ME	$443	$354	$947
DC	$448	$424	$558
NM	$454	$400	$706
RI	$468	$418	$822
UT	$470	$365	$654
LA	$476	$244	$908
TX	$479	$362	$1,012
CT	$492	$383	$861
DE	$495	$453	$686
VI	$506	$486	$550
PA	$514	$373	$1,242
NC	$532	$388	$620
TN	$536	$379	$1,129
MS	$537	$338	$685
IA	$543	$351	$870
ID	$599	$406	$933
MA	$622	$401	$1,118
CA	$627	$508	$1,512
OK	$646	$391	$762
SC	$646	$393	$1,245
MO	$656	$399	$1,106
ND	$663	$452	$897
MT	$686	$572	$1,052
KS	$692	$383	$1,094
NE	$696	$397	$1,198
VA	$712	$401	$1,600
IL	$746	$436	$1,045
NY	$765	$473	$1,397
MN	$789	$606	$789
FL	$804	$432	$1,973
NV	$810	$450	$1,943
SD	$839	$527	$1,293
MD	$840	$511	$1,133
NJ	$866	$586	$1,570
GA	$877	$435	$2,511
WA	$891	$489	$1,664
CO	$897	$457	$1,381
OR	$910	$552	$1,692
WI	$914	$809	$953
NH	$947	$416	$1,484
HI	$986	$493	$1,600
WY	$1,045	$595	$1,446
AK	$1,192	$724	$3,037

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	$293	$293	$249	$322	3	8	10
MI	$364	$214	$496	<$1	$3,194	75	361	2,989
KY	$376	$277	$572	$41	$5,703	53	137	1,682
WV	$394	$329	$530	$25	$2,792	22	99	628
AS	$412	$385	$440	$385	$440	1 ⚠ thin data	1	6
VT	$422	$379	$570	<$1	$1,681	9	50	504
OH	$425	$370	$792	<$1	$11,143	90	366	3,735
IN	$430	$288	$706	$47	$4,580	59	337	3,204
AL	$430	$351	$922	$1	$34,567	47	229	1,337
AZ	$434	$347	$831	$56	$7,971	39	426	1,747
AR	$440	$363	$899	$48	$12,793	38	343	1,495
ME	$443	$354	$947	$74	$3,998	28	34	635
DC	$448	$424	$558	$298	$6,265	4	18	72
NM	$454	$400	$706	$212	$4,145	15	60	245
RI	$468	$418	$822	$97	$2,567	9	34	220
UT	$470	$365	$654	$7	$6,405	37	153	2,649
LA	$476	$244	$908	$7	$17,881	59	423	3,878
TX	$479	$362	$1,012	<$1	$22,109	284	679	12,888
CT	$492	$383	$861	$35	$11,934	19	46	427
DE	$495	$453	$686	$417	$2,121	4	8	32
VI	$506	$486	$550	$460	$591	1 ⚠ thin data	6	6
PA	$514	$373	$1,242	$1	$25,414	93	318	5,077
NC	$532	$388	$620	$1	$5,070	59	174	3,172
TN	$536	$379	$1,129	<$1	$4,936	69	204	3,956
MS	$537	$338	$685	$4	$5,000	51	508	2,286
IA	$543	$351	$870	$18	$3,702	59	197	2,376
ID	$599	$406	$933	$54	$2,484	32	149	1,156
MA	$622	$401	$1,118	$1	$13,614	43	425	2,611
CA	$627	$508	$1,512	<$1	$126,788	231	1,201	11,754
OK	$646	$391	$762	$106	$5,617	63	240	2,031
SC	$646	$393	$1,245	$1	$15,483	47	168	2,104
MO	$656	$399	$1,106	$19	$7,801	45	214	3,003
ND	$663	$452	$897	$150	$2,620	22	69	550
MT	$686	$572	$1,052	$53	$4,052	31	290	1,194
KS	$692	$383	$1,094	$9	$159,060	74	348	2,036
NE	$696	$397	$1,198	$6	$7,273	44	131	1,863
VA	$712	$401	$1,600	$103	$7,166	49	77	1,578
IL	$746	$436	$1,045	$9	$7,440	105	488	4,249
NY	$765	$473	$1,397	<$1	$35,000	112	417	8,107
MN	$789	$606	$789	$40	$50,000	77	365	6,060
FL	$804	$432	$1,973	<$1	$149,248	152	845	8,738
NV	$810	$450	$1,943	$80	$28,516	27	267	1,205
SD	$839	$527	$1,293	$13	$5,411	23	99	758
MD	$840	$511	$1,133	$351	$1,400	2 ⚠ thin data	19	43
NJ	$866	$586	$1,570	$61	$12,000	49	237	3,590
GA	$877	$435	$2,511	$100	$50,000	77	156	2,373
WA	$891	$489	$1,664	$51	$16,508	67	227	3,097
CO	$897	$457	$1,381	$49	$9,888	69	256	2,915
OR	$910	$552	$1,692	$50	$13,592	37	403	2,660
WI	$914	$809	$953	$72	$16,897	91	522	5,874
NH	$947	$416	$1,484	$87	$7,243	14	45	595
HI	$986	$493	$1,600	$214	$4,720	15	31	307
WY	$1,045	$595	$1,446	$32	$2,613	21	99	386
AK	$1,192	$724	$3,037	$451	$15,448	7	29	92