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Tennessee rates for HCPCS 94016

Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional

Facilitymedian $155 · 10th–90th $37–$1550%50%10th$155Professionalmedian $25 · 10th–90th $22–$450%20%10th90th$25$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $47.86 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $194.98 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $28.84 / $47.86