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Insulin Tolerance Panel for Adrenal Response

South Dakota 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?

$339

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $550 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 6 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$282$224 to $661
FacilityA hospital or hospital-owned outpatient department$550$339 to $550

How much rates vary

Facilitymedian $550 · 10th to 90th $269 to $550Professionalmedian $282 · 10th to 90th $186 to $692
$100$200$500$1Kfacility $550professional $282

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
$199.53
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$588.84
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$169.82
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where South Dakota sits

The same service costs 4.0 times more in North Dakota than in Connecticut. 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.

South Dakota· 8th of 51

$339

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.