42260 (CPT) by state — Price Transparency

CPT · across United States

42260 — Repair Nose To Lip Fistula

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

$5,592 National median

$2,206 – $7,516 IQR (p25 – p75)

1,753 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $3,572.

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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 42260 (CPT), with interquartile range
State	Median	p25	p75
ID	$11,726	$8,099	$13,632
OR	$11,261	$7,106	$14,406
WA	$8,642	$6,782	$15,807
NC	$8,612	$6,040	$8,629
CA	$7,511	$3,494	$9,015
MA	$7,095	$3,220	$9,112
NJ	$6,967	$6,231	$9,212
DE	$6,821	$6,397	$9,986
RI	$6,656	$5,394	$10,981
WI	$6,490	$5,712	$7,880
NM	$6,243	$5,580	$7,084
NE	$6,100	$5,095	$7,857
ND	$6,093	$5,916	$10,719
OK	$6,087	$4,839	$8,593
FL	$6,077	$2,252	$9,603
HI	$5,980	$1,894	$7,363
VA	$5,954	$5,081	$8,250
PA	$5,947	$1,071	$10,061
CO	$5,945	$3,185	$7,496
GA	$5,879	$3,403	$7,175
CT	$5,865	$2,816	$7,273
ME	$5,840	$5,725	$21,844
MN	$5,806	$3,205	$6,186
IA	$5,797	$5,566	$7,407
KY	$5,712	$5,143	$7,351
IL	$5,708	$1,467	$6,475
OH	$5,638	$4,975	$8,737
MD	$5,625	$4,814	$5,734
SC	$5,616	$3,939	$8,753
SD	$5,586	$4,299	$5,720
MS	$5,432	$4,426	$5,775
LA	$5,303	$2,654	$5,768
NY	$5,190	$2,842	$7,280
AL	$5,102	$981	$6,086
TX	$4,807	$2,150	$6,383
AZ	$4,674	$3,286	$6,305
KS	$4,643	$1,282	$7,185
AR	$4,591	$1,625	$5,560
AK	$4,401	$1,341	$9,604
PR	$4,302	$4,302	$4,302
DC	$4,128	$3,372	$5,208
NH	$3,942	$1,800	$6,804
MO	$3,933	$1,973	$6,030
NV	$3,500	$2,376	$6,471
TN	$3,465	$1,521	$5,265
IN	$2,703	$629	$3,500
AS	$2,380	$869	$3,891
WY	$2,050	$1,112	$4,080
MT	$1,257	$860	$3,706
MI	$736	$450	$2,874
WV	$678	$506	$5,311
VT	$668	$184	$1,153
UT	$530	$134	$2,320

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

ID	$11,726	$8,099	$13,632	$332	$23,194	13	67	646
OR	$11,261	$7,106	$14,406	$4,693	$51,070	17	21	336
WA	$8,642	$6,782	$15,807	$445	$40,469	39	47	1,198
NC	$8,612	$6,040	$8,629	$499	$16,269	41	59	908
CA	$7,511	$3,494	$9,015	$1	$115,273	157	360	4,043
MA	$7,095	$3,220	$9,112	$1	$21,370	19	34	214
NJ	$6,967	$6,231	$9,212	$22	$31,679	35	51	1,248
DE	$6,821	$6,397	$9,986	$832	$30,880	4	8	32
RI	$6,656	$5,394	$10,981	$912	$37,381	5	7	70
WI	$6,490	$5,712	$7,880	$630	$43,319	62	64	795
NM	$6,243	$5,580	$7,084	$1,683	$26,001	10	32	133
NE	$6,100	$5,095	$7,857	$79	$22,021	17	65	760
ND	$6,093	$5,916	$10,719	$396	$22,677	9	38	153
OK	$6,087	$4,839	$8,593	$450	$16,197	38	47	474
FL	$6,077	$2,252	$9,603	$1	$986,568	120	180	4,014
HI	$5,980	$1,894	$7,363	$186	$15,437	11	23	153
VA	$5,954	$5,081	$8,250	$713	$23,414	32	29	549
PA	$5,947	$1,071	$10,061	$40	$36,849	42	140	2,247
CO	$5,945	$3,185	$7,496	$538	$26,888	49	58	987
GA	$5,879	$3,403	$7,175	$80	$50,000	50	82	1,485
CT	$5,865	$2,816	$7,273	$1,260	$16,816	13	19	194
ME	$5,840	$5,725	$21,844	$915	$35,382	19	9	143
MN	$5,806	$3,205	$6,186	$92	$50,000	51	60	847
IA	$5,797	$5,566	$7,407	$486	$16,121	18	33	293
KY	$5,712	$5,143	$7,351	$2,274	$14,497	28	49	735
IL	$5,708	$1,467	$6,475	$286	$22,203	59	128	882
OH	$5,638	$4,975	$8,737	$101	$25,989	71	113	1,415
MD	$5,625	$4,814	$5,734	$3,145	$8,069	1 ⚠ thin data	11	19
SC	$5,616	$3,939	$8,753	$1	$46,600	43	54	951
SD	$5,586	$4,299	$5,720	$522	$11,176	4	45	78
MS	$5,432	$4,426	$5,775	$662	$23,448	14	55	322
LA	$5,303	$2,654	$5,768	$118	$17,881	28	72	718
NY	$5,190	$2,842	$7,280	$49	$80,208	76	220	4,214
AL	$5,102	$981	$6,086	$1	$24,035	21	38	331
TX	$4,807	$2,150	$6,383	<$1	$40,531	210	241	8,341
AZ	$4,674	$3,286	$6,305	$191	$17,455	28	63	753
KS	$4,643	$1,282	$7,185	$450	$40,689	22	109	469
AR	$4,591	$1,625	$5,560	$19	$13,628	13	48	348
AK	$4,401	$1,341	$9,604	$1,341	$24,380	3	14	27
PR	$4,302	$4,302	$4,302	$4,302	$4,732	1 ⚠ thin data	5	5
DC	$4,128	$3,372	$5,208	$2,210	$19,258	2 ⚠ thin data	6	14
NH	$3,942	$1,800	$6,804	$50	$44,504	12	31	397
MO	$3,933	$1,973	$6,030	$112	$90,265	26	121	625
NV	$3,500	$2,376	$6,471	$635	$26,822	18	99	445
TN	$3,465	$1,521	$5,265	$105	$14,553	43	71	2,242
IN	$2,703	$629	$3,500	$161	$29,226	37	89	1,329
AS	$2,380	$869	$3,891	$869	$3,891	1 ⚠ thin data	1	6
WY	$2,050	$1,112	$4,080	$575	$11,247	7	34	59
MT	$1,257	$860	$3,706	$170	$17,423	12	45	210
MI	$736	$450	$2,874	<$1	$18,149	57	234	1,416
WV	$678	$506	$5,311	$105	$41,334	8	30	159
VT	$668	$184	$1,153	<$1	$7,945	2 ⚠ thin data	24	131
UT	$530	$134	$2,320	$105	$15,499	33	41	1,936