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Screening Blood Test For Recent Strep Infection

North Carolina 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?

$5.01

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $4.57 from a physician practice, and about $8.13 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 6 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$4.57$4.57 to $5.75
FacilityA hospital or hospital-owned outpatient department$8.13$5.01 to $19.05

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $66Professionalmedian $5 · 10th to 90th $4 to $8
$5.0$10.0$20.0$50.0$100.0facility $8professional $5

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
$4.57
Median
$8.13
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$24.55
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.25
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$11.22
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.07
Typical High
$8.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$14.13
Typical High
$19.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.25
Typical High
$11.22
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$15.85
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$7.59
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$8.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00

Where North Carolina 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.

North Carolina $5.01 · 44th 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.