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Infant Lung Function Breathing Test

New Jersey rates for HCPCS 94011

This is a breathing test used to measure lung function in a very young child, typically an infant or toddler up to about age two, who is too young to follow instructions for a standard breathing test. Instead of asking the child to breathe on command, the test uses specialized equipment to measure airflow while the child breathes normally or with gentle assistance. It helps assess conditions affecting breathing and lung development in young children.

Rates data updated July 2026.

How much does Infant Lung Function Breathing Test cost?

$89.13

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $151 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$79.43 to $110
FacilityA hospital or hospital-owned outpatient department$151$105 to $347

How much rates vary

Facilitymedian $151 · 10th to 90th $105 to $562Professionalmedian $89 · 10th to 90th $72 to $162
$100$200$500facility $151professional $89

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
Global
Typical Low
$104.71
Median
$104.71
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$199.53
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$151.36
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$676.08
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$177.83

Where New Jersey sits

The same service costs 2.3 times more in Minnesota than in West Virginia. 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.

New Jersey· 48th of 51

$89.13

MN $195WV $85.11

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.