go back

Screening Blood Test For Recent Strep Infection

Pennsylvania 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 October 2026.

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

$5.37

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $4.90 from a physician practice, and about $9.55 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.90$4.47 to $6.03
FacilityA hospital or hospital-owned outpatient department$9.55$5.75 to $20.89

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $43Professionalmedian $5 · 10th to 90th $3 to $8
$10$100$1K$10Kfacility $10professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.68
Median
$4.90
Typical High
$16.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$4.68
Typical High
$5.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.29
Median
$2.34
Typical High
$2.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.91
Median
$0.93
Typical High
$1.02
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$42.66
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.47
Typical High
$5.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$8.91
Typical High
$17.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$6.46
Typical High
$13.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$2.69
Typical High
$8.32
Geisinger
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Geisinger
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$6.46
Typical High
$8.71
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$18.62
Typical High
$30.90
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4.68
Median
$4.90
Typical High
$16.98
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$5.37
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.34
Median
$2.34
Typical High
$2.45
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.93
Median
$0.93
Typical High
$0.98
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$21.38
Typical High
$43.65
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.75
Typical High
$8.13
United
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$5.75
Typical High
$6.92
United
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$4.27
Typical High
$10.00

Where Pennsylvania sits

The same service costs 4.0 times more in Kansas than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 34th of 51

$5.37

KS $17.38MD $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.