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Kidney Stone Risk Chemical Test

Virginia 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?

$12.30

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $21.88 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$11.22$10.96 to $12.30
FacilityA hospital or hospital-owned outpatient department$21.88$14.45 to $41.69

How much rates vary

Facilitymedian $22 · 10th to 90th $12 to $76Professionalmedian $11 · 10th to 90th $6 to $28
$10.0$100.0$1.0K$10.0Kfacility $22professional $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
$12.30
Median
$32.36
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.22
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$10.72
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$33.88
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$21.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$21.38
Typical High
$25.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$12.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$30.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$20.42
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$20.42
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$14.45
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.94
Typical High
$13.49

Where Virginia 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.

Virginia $12.30 · 37th 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.