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Screening Blood Test For Recent Strep Infection

Massachusetts rates for HCPCS 86063

This blood test checks for antibodies related to a recent infection with group A strep bacteria, giving a straightforward result of whether these antibodies are present. It's used when a doctor suspects a strep-related complication, such as rheumatic fever or certain types of joint pain or kidney inflammation that can follow a strep throat or skin infection. It requires only a standard blood draw.

Rates data updated July 2026.

How much does Screening Blood Test For Recent Strep Infection cost?

$6.92

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $5.75 from a physician practice, and about $14.45 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 9 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$5.75$5.50 to $8.71
FacilityA hospital or hospital-owned outpatient department$14.45$8.13 to $17.78

How much rates vary

Facilitymedian $14 · 10th to 90th $5 to $25Professionalmedian $6 · 10th to 90th $5 to $17
$10.0$100.0$1.0K$10.0Kfacility $14professional $6

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
$5.75
Median
$13.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.50
Typical High
$25.70
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$8.13
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.75
Typical High
$14.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$14.45
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$9.12
Typical High
$14.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$6.61
Typical High
$15.49
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$28.84
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$17.38
Health New England
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$8.13
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.75
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$5.75
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.75
Typical High
$14.79

Where Massachusetts sits

The same service costs 2.5 times more in Iowa than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $6.92 · 20th of 51
IA $10.96MD $4.37

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.