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Doctor Review Of At-Home Breathing Test Data

Rhode Island 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.

Rates data updated October 2026.

How much does Doctor Review Of At-Home Breathing Test Data cost?

$30.20

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $54.95 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$27.54 to $35.48
FacilityA hospital or hospital-owned outpatient department$54.95$48.98 to $58.88

How much rates vary

Facilitymedian $55 · 10th to 90th $46 to $105Professionalmedian $30 · 10th to 90th $24 to $47
$20$50$100facility $55professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$54.95
Typical High
$95.50
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$46.77
Typical High
$46.77
United
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$25.70
Typical High
$37.15

Where Rhode Island sits

The same service costs 2.6 times more in Alaska than in Florida. 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· 24th of 51

$30.20

AK $56.23FL $21.38

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.