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Extended Infant Breathing Monitoring, Additional Time

Washington rates for HCPCS 94781

This service covers additional monitoring time beyond an initial observation period during a test that watches a young infant's breathing pattern, heart rate, and oxygen levels while positioned in a car seat or similar device. It's used to make sure a baby can safely maintain normal breathing and oxygen levels in the position they'll be in during travel, often before hospital discharge. It is billed together with the main observation period, not on its own.

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $9$480%5%10th90th$21Professionalmedian $20 · 10th–90th $8$410%5%10%10th90th$20$5.0$10.0$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
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$23.99
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$19.05
Typical High
$38.90
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$23.44
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$22.91
Typical High
$51.29
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$19.50
Typical High
$44.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$19.05
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$42.66
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$29.51
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$29.51
Typical High
$51.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$144.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$23.44
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$13.80
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.38
Typical High
$41.69
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$48.98