CPT code 95070: Bronchial challenge, technical testing2026 Medicare rate & RVUs

Reports the technical portion of an inhaled bronchial challenge, such as methacholine testing, used to assess airway responsiveness when asthma is suspected.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.8K Medicare services in 2024

Medicare pays $39.75 for 95070 nationally in the office. Local office rates run $33.80–$56.41.

Medicare rate · 95070

Bronchial challenge, technical testing

Office or facility?

Work RVUs
0
Total RVUs
1.19
Global days
XXX

National rate · 2026

$39.75

Office setting, before claim adjustments.

See every locality for 95070 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 95070 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 95070 covers

This service assesses how the airways respond to an inhaled challenge agent. A pulmonary function laboratory or allergy clinic commonly performs the test, with trained staff administering the agent and measuring pulmonary function at intervals. Methacholine challenge is a familiar example when symptoms suggest asthma but routine testing has not established variable airflow obstruction. The test is distinct from skin testing for allergen sensitization and from measuring exhaled nitric oxide.

Select 95070 for the technical testing, not for interpretation alone. Documentation should identify the clinical indication, challenge agent and protocol, and the pulmonary function measurements and response used to conduct the test. CMS classifies 95070 as a technical-component-only code; a separate code, 95071, covers interpretation and report. Report that interpretation service only when it is performed and documented.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 95070 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$33.80 to $56.41

$33.80$45.10$56.41
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

95070 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$34.47Unavailable
Alaska$41.82Unavailable
Arizona$38.40Unavailable
Arkansas$33.80Unavailable
Atlanta, GA$40.57Unavailable
Austin, TX$41.88Unavailable
Bakersfield, CA$43.07Unavailable
Baltimore area, MD$42.81Unavailable
Beaumont, TX$36.19Unavailable
Brazoria, TX$39.18Unavailable

95070 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$33.80

$49.71

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95070 office rate range by state
State / territoryOffice rate rangeLocalities
AK$41.821
AL$34.471
AR$33.801
AZ$38.401
CA$43.00–$56.4129
CO$42.011
CT$42.941
DC$46.761
DE$39.181
FL$38.55–$42.873
GA$35.75–$40.572
GU$44.631
HI$44.631
IA$35.851
ID$36.121
IL$36.94–$41.574
IN$36.401
KS$35.531
KY$35.361
LA$35.25–$37.602
MA$41.60–$47.152
MD$40.13–$46.763
ME$36.27–$39.032
MI$36.51–$39.082
MN$40.171
MO$34.37–$37.893
MS$34.101
MT$39.751
NC$36.791
ND$39.151
NE$36.141
NH$41.211
NJ$43.41–$46.012
NM$36.731
NV$39.621
NY$37.51–$47.935
OH$36.381
OK$35.381
OR$39.29–$43.792
PA$36.51–$41.532
PR$40.161
RI$40.921
SC$36.651
SD$39.081
TN$35.761
TX$36.19–$41.888
UT$37.321
VA$38.79–$46.762
VI$40.161
VT$38.861
WA$41.56–$48.362
WI$37.431
WV$35.101
WY$39.491

How the 95070 rate is calculated

Each of 95070’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95070

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense1.16

1.16 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.1900

Conversion factor

$33.4009

Medicare rate

$39.75

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 95070

The CMS indicators that decide how 95070 is paid alongside other services.

CMS payment indicators · 95070

Bronchial challenge, technical testing

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

95070 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 95070

    Bronchial challenge, technical testing0 wRVU

    $39.75

  • 95076

    Ingestion challenge, initial 120 minutes1.5 wRVU

    $123.25+$83.50

  • 95012

    FeNO test, exhaled nitric oxide level0 wRVU

    $19.71−$20.04

  • 95004

    Allergy skin prick test, percutaneous, immediate reaction, per test0.01 wRVU

    $3.67−$36.08

How to choose

95076Ingestion challengeInitial 120 minutes
Use 95076 for an oral ingestion challenge. Use 95070 when the challenge agent is inhaled to assess airway responsiveness.
95012FeNO testExhaled nitric oxide level
95012 measures exhaled nitric oxide. It does not describe an inhaled agent challenge with pulmonary function measurements.
95004Allergy skin prick testPercutaneous, immediate reaction, per test
95004 reports percutaneous allergen testing for sensitization; 95070 evaluates the airways’ response to an inhaled challenge agent.

95070 billing questions

When should 95070 be used instead of allergy skin testing?

Use 95070 for an inhaled challenge that evaluates airway responsiveness, such as a methacholine test. Skin testing, including 95004, evaluates sensitization to allergen extracts rather than the airways’ response to inhalation.

Does 95070 include interpretation of the results?

No. CMS identifies 95070 as technical-component-only; 95071 is the separate interpretation-and-report code.

What documentation supports 95070?

Document the reason for the challenge, the inhaled agent and testing protocol, and the pulmonary function measurements and response recorded during testing.

Can 95070 be used for an oral food challenge?

No. 95070 is for an inhaled bronchial challenge. Oral ingestion challenges are reported with the applicable ingestion-challenge codes, such as 95076 and, when appropriate, 95079.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95070PPRRVU2026_Oct_nonQPP.csv, line 12,469 (RVU26D)

Open CMS sourceHow we calculate rates

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