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Doctor Review Of At-Home Breathing Test Data

North Carolina rates for HCPCS 94016

A doctor reviews and interprets breathing measurements that a patient recorded at home over about a month, typically to monitor a condition such as asthma. This covers only the physician's review of the data, not the home recording device or the recording itself.

Facilitymedian $30 · 10th–90th $24$490%10%20%10th90th$30Professionalmedian $28 · 10th–90th $23$690%20%10th90th$28$0.5$2.0$10.0$50.0

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
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$61.66
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$46.77
Medcost
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$61.66
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$47.86
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$194.98