By Robert King
November 16, 2020
New data from an insurance industry group find price gouging for out-of-network COVID-19 tests has increased since a July survey, and insurers want Congress to step in.
The data (PDF), released Monday from America’s Health Insurance Plans (AHIP), comes as most providers agreed to offer COVID-19 testing and treatments without cost-sharing.
AHIP conducted a survey of 22 of its members, representing 76% of commercial enrollment of AHIP member plans.
On average, a COVID-19 test in the commercial market costs $130, and out-of-network tests cost more than $185.
“Between 9% and 16% of out-of-network test claims charged more than $390 (three times the average cost),” AHIP’s report said.
It found that nearly a quarter of COVID-19 tests are administered out of network, which is a 14% increase from a similar survey of 22 members taken in July.
AHIP found that the out-of-network costs were also going up….