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Insulin Tolerance Panel for Adrenal Response

Virginia 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?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $302 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 8 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$214$174 to $240
FacilityA hospital or hospital-owned outpatient department$302$282 to $603

How much rates vary

Facilitymedian $302 · 10th to 90th $209 to $1,202Professionalmedian $214 · 10th to 90th $115 to $479
$100$200$500$1K$2K$5K$10Kfacility $302professional $214

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
$213.80
Median
$602.56
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$190.55
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$363.08
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$141.25
Typical High
$281.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$199.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$602.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$338.84
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$338.84
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$120.23
Typical High
$169.82

Where Virginia 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.

Virginia· 26th of 51

$240

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.