go back

Infant Spirometry Before And After Bronchodilator

Rhode Island rates for HCPCS 94012

A breathing test for an infant or very young child that measures how much and how fast air moves in and out of the lungs, performed once before and again after a bronchodilator medication is given. Comparing the two results shows whether the medication improves the child's airflow.

Rates data updated July 2026.

How much does Infant Spirometry Before And After Bronchodilator cost?

$178

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $479 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 4 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$178$155 to $191
FacilityA hospital or hospital-owned outpatient department$479$195 to $646

How much rates vary

Facilitymedian $479 · 10th to 90th $102 to $708Professionalmedian $178 · 10th to 90th $135 to $200
$100$200$500$1Kfacility $479professional $178

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
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$478.63
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$269.15

Where Rhode Island 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.

Rhode Island· 11th of 51

$178

MN $316WV $138

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.