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Kidney Stone Risk Chemical Test

New Jersey rates for HCPCS 83945

This test measures the level of a chemical compound associated with kidney stone formation, usually in a urine sample. It is used as part of evaluating a person's risk for developing kidney stones.

Rates data updated July 2026.

How much does Kidney Stone Risk Chemical Test cost?

$15.49

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $37.15 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$11.48$10.96 to $14.79
FacilityA hospital or hospital-owned outpatient department$37.15$19.50 to $64.57

How much rates vary

Facilitymedian $37 · 10th to 90th $14 to $126Professionalmedian $11 · 10th to 90th $9 to $25
$10.0$100.0$1.0K$10.0Kfacility $37professional $11

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
$14.45
Median
$37.15
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.48
Typical High
$25.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$31.62
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$31.62
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.30
Typical High
$35.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.24
Typical High
$14.45
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$14.45
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$18.62

Where New Jersey sits

The same service costs 3.3 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $15.49 · 19th of 51
WV $36.31DC $10.96

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.