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At-Home Breathing Test Monitoring Program

North Carolina rates for HCPCS 94014

This service covers a period of at-home lung function monitoring in which a patient regularly performs a simple breathing test using a handheld device, and the results are sent in for review. It includes patient instruction on using the device, transmission and analysis of the readings, and a clinician's review and interpretation over the monitoring period. It's used to track lung function over time in conditions like asthma or after a lung transplant, without requiring an office visit for each reading.

Rates data updated July 2026.

How much does At-Home Breathing Test Monitoring Program cost?

$54.95

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $52.48 to $64.57.

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 $55 · 10th to 90th $49 to $112
$50$100$200$500professional $55

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
$50.12
Median
$54.95
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$131.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$141.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$97.72
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$467.74

Where North Carolina sits

The same service costs 2.4 times more in Minnesota than in Kentucky. 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.

North Carolina· 38th of 51

$54.95

MN $123KY $51.29

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.