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Airplane Cabin Oxygen Test With Oxygen Titration

Montana rates for HCPCS 94453

A breathing test that mimics the thinner air of an aircraft cabin by having the patient breathe a mixture with reduced oxygen while blood oxygen levels are watched. Extra oxygen is then given and adjusted step by step to find how much would be needed in flight. A clinician interprets the results and writes a report.

Rates data updated October 2026.

How much does Airplane Cabin Oxygen Test With Oxygen Titration cost?

$95.50

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $129 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$89.13 to $110
FacilityA hospital or hospital-owned outpatient department$129$112 to $135

How much rates vary

Facilitymedian $129 · 10th to 90th $87 to $158Professionalmedian $95 · 10th to 90th $71 to $129
$100$200facility $129professional $95

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$61.66
Median
$85.11
Typical High
$89.13
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$20.42
Typical High
$26.30
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$61.66
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$107.15
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$89.13
Median
$89.13
Typical High
$104.71
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$23.99
Typical High
$28.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$66.07
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$131.83
Typical High
$147.91
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$128.82
Typical High
$138.04
MountainHealth Co-op
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
MountainHealth Co-op
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Providence
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$107.15
Typical High
$162.18
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$91.20
Typical High
$107.15
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$25.12
Typical High
$29.51
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$66.07
Typical High
$77.62
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$102.33
Median
$120.23
Typical High
$131.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$30.90
Typical High
$34.67
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$87.10
Typical High
$100.00

Where Montana sits

The same service costs 2.4 times more in North Dakota than in Texas. 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.

Montana· 19th of 51

$95.50

ND $148TX $61.66

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.