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See a sample rate comparisonCPT 94060 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Breathing Test With Medication, Test To See How Well A Medication For Increasing Airflow To The Lungs (Bronchodilator) Works. The Person Breathes Into A Spirometer (Device For Measuring Airflow) Before Using The Medicine And Then Afterward.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $43.42 national non-facility rate (2026) · View Medicare rates for 94060 |
| Medicaid Fee Schedule | $35.195 median of the 8 states in the free preview · View Medicaid rates for 94060 |
National average reimbursement for CPT 94060 by major payers:
$52.50
$74.37
$68.61
$77.69
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CPT 94060
5 of 25 sample ratesHigher to lower in this preview
Vimala Rapaka
The Cleveland Clinic Foundation
$145.13Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$93.91Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$68.78Published rateObaeda Harfoush
Marietta Memorial Hospital
$47.50Published rateDavid Motola
Orlando Health Medical Group Inc
$21.12Published rate
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See a sample payer proposalCPT 94060 vs. Other Pulmonary Procedures Codes
The CPT 94060 code is part of the Medicine Services and Procedures services used for Pulmonary Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 94060 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 94010-CPT | Low | Spirometry Including Graphic, Spirometry Including Graphic Record Total And Timed Vital Capacity Expiratory Flow Rate Measurement(S) With Or Without Maximal Voluntary Ventilation |
| 94011-CPT | Low | Spirometer Breath Test, This Test Involves Breathing Out Hard Into A Spirometer (Device For Measuring Airflow). The Spirometer Records The Amount And Rate Of Airflow. |
| 94060-CPT | Low | Breathing Test With Medication, Test To See How Well A Medication For Increasing Airflow To The Lungs (Bronchodilator) Works. The Person Breathes Into A Spirometer (Device For Measuring Airflow) Before Using The Medicine And Then Afterward. |
| 94070-CPT | Low | Breathing Test While Stressed, The Test Measures The Amount Of Air That Moves In And Out Of The Lungs During Breathing. Stress Is Deliberately Introduced To See If A Bronchospasm (Asthma Attack) Occurs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94060 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
The cost of a medical procedure or service can vary significantly based on your insurance plan, location, and the healthcare provider. To find specific fee schedule information tailored to your situation, including by CPT code and specific location, it is recommended to use Payerprice's fee schedule lookup tool. This tool allows users to search for costs based on these specific criteria.
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare professionals to describe medical, surgical, and diagnostic services. They are crucial for consistent communication between doctors, patients, and insurance companies. Understanding CPT codes is important for medical costs because they are the basis for billing and reimbursement, allowing you to accurately look up and compare prices for specific services.
To find detailed information about healthcare fee schedules based on specific CPT codes and your particular location, Payerprice offers a dedicated fee schedule lookup tool. This resource is designed to help users search and understand the pricing for various medical services, taking into account the relevant CPT code and geographical factors.
Yes, comparing prices for medical services from different healthcare providers is possible and often recommended to ensure you're getting the best value. Tools like Payerprice can assist in this process by allowing you to search for services using CPT codes and compare costs across different locations, helping you make informed decisions about your healthcare.
Several factors influence the cost of a medical service. These include your insurance coverage and negotiated rates with providers, the geographic location (costs can vary significantly by state or city), the type of facility where the service is performed (e.g., hospital vs. outpatient clinic), the complexity and duration of the procedure, and the provider's specific fee schedule. Understanding these factors can help you anticipate and manage healthcare expenses.