go back

Supervised Breathing Exercise Session

West Virginia rates for HCPCS 94625

A patient with a chronic lung condition takes part in a supervised session of physical exercise designed to improve breathing capacity and stamina, guided by a respiratory or exercise professional. The session does not include continuous monitoring of blood oxygen levels throughout. It is part of an ongoing program rather than a single one-time visit.

Rates data updated October 2026.

How much does Supervised Breathing Exercise Session cost?

$48.98

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $64.57 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$48.98$18.62 to $70.79
FacilityA hospital or hospital-owned outpatient department$64.57$20.42 to $64.57

How much rates vary

Facilitymedian $65 · 10th to 90th $20 to $166Professionalmedian $49 · 10th to 90th $17 to $93
$20$50$100$200facility $65professional $49

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
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$48.98
Typical High
$58.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$9.33
Median
$19.05
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.72
Median
$7.59
Typical High
$11.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.82
Median
$5.62
Typical High
$8.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.86
Median
$3.80
Typical High
$5.89
CareSource
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$74.13
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$66.07
Typical High
$169.82
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$199.53
Typical High
$218.78
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$42.66
Typical High
$91.20

Where West Virginia sits

The same service costs 4.9 times more in Hawaii than in Washington, DC. 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.

West Virginia· 41st of 51

$48.98

HI $91.20DC $18.62

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.