posted by David Allen
on July 20, 2021
WASHINGTON, D.C. – (July 20, 2021) – Everyone should be able to get the COVID-19 tests they need, and health insurance providers have worked throughout the pandemic to ensure that people have access to tests needed COVID-19 testing. But new data from AHIP show that price gouging on COVID-19 tests by certain providers continues to be a widespread problem, threatening patients’ ability to get the testing they need.
On average, a COVID-19 test in the commercial market costs $130. The new data demonstrates that the share of tests charging 50% to 100% above the average costs has doubled (from 18% to 36%) between early in the pandemic and more recently during the current public health emergency.
As the nation continues to address the pandemic, affordable testing is key to reducing the spread of COVID-19,” said Jeanette Thornton, AHIP’s Senior Vice President of Product, Employer, and Commercial Policy. “COVID-19 testing price gouging threatens the progress we are making against this deadly virus, and we urge the Administration, Congress, and policymakers to take deliberate steps to ensure testing is accessible and affordable for all Americans.
Between May and June of 2021, AHIP conducted a survey of health insurance providers in the commercial market to gather information on prices charged by out-of-network providers for diagnostic, antibody, and antigen tests for COVID-19. This builds upon results from previous AHIP surveys on COVID-19 testing.
Key results from the survey include:
AHIP’s latest data includes share of COVID-19 tests performed by out-of-network providers, the percent of high-priced out-of-network tests, and the reported testing sites for out-of-network COVID-19 tests.
AHIP also provides recommendations to help stop COVID-19 testing price gouging. Those recommendations can be found here.
AHIP is the national association whose members provide health care coverage, services, and solutions to hundreds of millions of Americans every day. We are committed to market-based solutions and public-private partnerships that make health care better and coverage more affordable and accessible for everyone. Visit www.ahip.org to learn how working together, we are Guiding Greater Health.