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See a sample rate comparisonCPT 94070 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 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.
| 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 | $69.81 national non-facility rate (2026) · View Medicare rates for 94070 |
| Medicaid Fee Schedule | $56.30 median of the 8 states in the free preview · View Medicaid rates for 94070 |
National average reimbursement for CPT 94070 by major payers:
$77.02
$80.46
$85.90
$101.61
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CPT 94070
5 of 25 sample ratesHigher to lower in this preview
Cynthia Stack
Pediatric Faculty Foundation In
$130.74Published rateFakhir Elmasri
University Of Miami
$58.58Published rateAbby Fredrickson
Loyola University Medical Center
$53.86Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$39.38Published rateRakesh Chandra
Christopher Greater Area Rural Health Planning Corporation
$27.27Published rate
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See a sample payer proposalCPT 94070 vs. Other Pulmonary Procedures Codes
The CPT 94070 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 94070 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 94070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94070 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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