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Spirometry (Basic Lung Function Test)

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $37.15 for this service. Most negotiated rates run $28.18 to $46.77.

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 $37 · 10th to 90th $26 to $58
$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
$7.59
Median
$12.88
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$37.15
Typical High
$57.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.59
Median
$8.91
Typical High
$15.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$25.12
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.59
Median
$10.23
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.62
Median
$24.55
Typical High
$36.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$27.54
Typical High
$44.67
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.59
Median
$7.59
Typical High
$9.77
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$23.44
Typical High
$30.20
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
$28.84
Median
$40.74
Typical High
$63.10
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.94
Median
$10.23
Typical High
$16.60
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$30.90
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.88
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.24
Median
$9.12
Typical High
$13.80
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$25.12
Typical High
$46.77
Medcost
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$53.70
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.23
Median
$12.88
Typical High
$15.14
Medcost
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$35.48
Typical High
$74.13
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.13
Median
$10.00
Typical High
$15.49
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$28.84
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$41.69
Typical High
$70.79
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.61
Median
$10.00
Typical High
$17.38
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$31.62
Typical High
$52.48

Where Virginia 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.

Virginia· 34th 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.