How much does a Hemoglobin A1c cost?

The typical insurer-negotiated rate for a Hemoglobin A1c (diabetes) test is about $30, with most falling between $15 and $61, based on published rates from 3,278 U.S. hospitals. What you actually pay depends on your plan's deductible and coinsurance.

Cash or self-pay prices for a Hemoglobin A1c (diabetes) test run around $66. Uninsured patients are often billed the much higher hospital "list" charge first (about $113), so it's worth asking for the cash or self-pay rate and negotiating.

Hospital "list" (chargemaster) prices for a Hemoglobin A1c (diabetes) test run about $113 — roughly 3.8× the $30 insurers actually pay. The list price is a starting point almost no one pays; the negotiated and cash rates are the realistic benchmark.

Yes. If you were charged well above the typical negotiated rate (about $30), that gap is negotiable. Upfronte audits your bill against real hospital pricing data and can negotiate it down on your behalf — no savings, no fee.