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Unlisted Lung Service Or Procedure

New Jersey rates for HCPCS 94799

Used when a lung or breathing service does not match any of the standard named ones, whether it is a measurement, a procedure, or a treatment. The clinician files a written account of what was done and why, which is then judged against the closest named services. Because it stands in for work with no standard name of its own, what was actually done varies from one patient to the next.

Rates data updated July 2026.

How much does Unlisted Lung Service Or Procedure cost?

$234

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$89.13 to $89.13
FacilityA hospital or hospital-owned outpatient department$263$234 to $479

How much rates vary

Facilitymedian $263 · 10th to 90th $138 to $2,089Professionalmedian $89 · 10th to 90th $56 to $89
$50$100$200$500$1K$2Kfacility $263professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$89.13
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$245.47
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$54.95
Typical High
$70.79

Where New Jersey sits

The same service costs 104.7 times more in New Hampshire than in Kansas. 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.

New Jersey· 6th of 51

$234

NH $2,754KS $26.30

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.