Screening Blood Test For Recent Strep Infection

Vermont 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?

$8.13

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $8.13 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $46.77 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$7.94	$4.68 to $10.00
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$46.77	$9.55 to $97.72

How much rates vary

Facilitymedian $47 · 10th to 90th $6 to $102Professionalmedian $8 · 10th to 90th $3 to $11

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00	Professional	None	$10.00	$10.00	$10.00
BCBS Vermont Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $102.33	Facility	None	$44.67	$60.26	$102.33
Cigna Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55	Facility	None	$9.55	$9.55	$9.55
Cigna Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $9.77	Professional	None	$3.98	$7.94	$9.77
MVP Health Care Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75	Facility	None	$5.75	$5.75	$5.75
MVP Health Care Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68	Professional	None	$4.68	$4.68	$4.68
United Setting Professional Modifier None Typical Low $2.63 Median $5.01 Typical High $12.88	Professional	None	$2.63	$5.01	$12.88

Where Vermont 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.

Vermont· 8th of 51

$8.13

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.