go back

Screening Blood Test For Recent Strep Infection

New Jersey 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?

$7.41

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $4.90 from a physician practice, and about $18.62 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 5 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$4.90$4.47 to $6.76
FacilityA hospital or hospital-owned outpatient department$18.62$9.55 to $25.70

How much rates vary

Facilitymedian $19 · 10th to 90th $6 to $63Professionalmedian $5 · 10th to 90th $4 to $17
$10.0$100.0$1.0K$10.0Kfacility $19professional $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
$7.41
Median
$19.05
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.90
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$12.88
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.50
Typical High
$16.22
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.88
Typical High
$6.46
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.13
Typical High
$6.46
United
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$5.75
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.47
Typical High
$8.32

Where New Jersey 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.

New Jersey $7.41 · 13th 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.