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Infant Lung Function Breathing Test

Wisconsin 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.

Facilitymedian $105 · 10th–90th $81$2570%10%20%10th90th$105Professionalmedian $107 · 10th–90th $79$2950%10%10th90th$107$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$245.47
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$173.78
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$199.53
Network Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$229.09
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$173.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$251.19
Quartz
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$537.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$426.58
Typical High
$537.03
Security Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Security Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$269.15