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Spirometry (Basic Lung Function Test)

South 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?

$37.15

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $37.15 for this service. Most negotiated rates run $26.92 to $52.48.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $37 · 10th to 90th $25 to $79
$10$20$50$100professional $37

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
$8.32
Median
$8.32
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$114.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.59
Median
$8.71
Typical High
$44.67
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$20.89
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.41
Median
$8.91
Typical High
$14.79
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$66.07
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.51
Median
$19.95
Typical High
$30.90
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$22.39
Typical High
$37.15
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$40.74
Typical High
$63.10
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.32
Median
$11.22
Typical High
$18.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$29.51
Typical High
$47.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$48.98
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.02
Median
$12.88
Typical High
$12.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$34.67
Typical High
$57.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$8.71
Typical High
$14.79
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$25.70
Typical High
$41.69

Where South 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.

South Carolina· 35th of 51

$37.15

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.