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Insulin Tolerance Panel for Adrenal Response

Washington 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 October 2026.

How much does Insulin Tolerance Panel for Adrenal Response cost?

$263

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $417 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$145 to $269
FacilityA hospital or hospital-owned outpatient department$417$282 to $575

How much rates vary

Facilitymedian $417 · 10th to 90th $214 to $759Professionalmedian $257 · 10th to 90th $120 to $316
$100$200$500$1Kfacility $417professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$870.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$275.42
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$316.23
Typical High
$776.25
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$257.04
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$416.87
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$144.54
Typical High
$389.05
Molina
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$251.19
Typical High
$251.19
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$281.84
Typical High
$575.44
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$501.19
Typical High
$776.25
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$257.04
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$426.58
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$257.04
Typical High
$281.84
United
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$120.23
Typical High
$281.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$281.84
Typical High
$512.86
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$134.90
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$53.70
Typical High
$54.95

Where Washington sits

The same service costs 11.2 times more in Alaska than in Alabama. 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.

Washington· 18th of 51

$263

AK $646AL $57.54

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.