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Insulin Tolerance Panel for Adrenal Response

Iowa rates for HCPCS 80434

A closely supervised timed test in which insulin is given to lower blood sugar briefly, and the body's stress-hormone response is measured in blood samples taken before and at set times afterwards. A healthy pituitary and adrenal system responds to low blood sugar by releasing cortisol, so a poor rise shows that this response is not working.

Rates data updated July 2026.

How much does Insulin Tolerance Panel for Adrenal Response cost?

$282

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $437 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 7 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$219$186 to $550
FacilityA hospital or hospital-owned outpatient department$437$282 to $724

How much rates vary

Facilitymedian $437 · 10th to 90th $219 to $832Professionalmedian $219 · 10th to 90th $158 to $1,862
$100.0$200.0$500.0$1.0Kfacility $437professional $219

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
$218.78
Median
$676.08
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$676.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$660.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$194.98
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$346.74
Typical High
$380.19
Midlands
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$281.84

Where Iowa sits

The same service costs 4.0 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $282 · 17th of 51
ND $479CT $120

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.