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Spirometry (Basic Lung Function Test)

North Carolina rates for HCPCS 94010

This is a basic breathing test where the patient blows air forcefully into a mouthpiece connected to a machine that measures how much air the lungs can hold and how quickly it can be exhaled. The results, shown as a graph and numbers, help diagnose and monitor conditions like asthma or COPD, a long-term lung disease that narrows the airways. It's the standard, entry-level pulmonary function test, without the added gas-dilution or diffusion measurements included in more extensive lung testing.

Rates data updated July 2026.

How much does Spirometry (Basic Lung Function Test) cost?

$42.66

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $42.66 for this service. Most negotiated rates run $28.18 to $56.23.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $43 · 10th to 90th $25 to $83
$10$20$50$100$200professional $43

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$8.13
Median
$9.55
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$42.66
Typical High
$83.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.59
Median
$8.91
Typical High
$33.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$22.39
Typical High
$42.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$29.51
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.41
Median
$11.75
Typical High
$14.79
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$36.31
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$467.74
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.13
Median
$12.02
Typical High
$25.70
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$29.51
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$75.86
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.13
Median
$11.75
Typical High
$20.42
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$32.36
Typical High
$56.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$91.20
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$28.18
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$64.57
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$9.12
Typical High
$16.60
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$26.92
Typical High
$45.71
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$138.04
Typical High
$165.96

Where North Carolina sits

The same service costs 2.3 times more in Minnesota than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 17th of 51

$42.66

MN $63.10TX $27.54

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.