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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 July 2026.

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

$10.00

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $44.67 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$10.00$9.77 to $10.00
FacilityA hospital or hospital-owned outpatient department$44.67$9.55 to $60.26

How much rates vary

Facilitymedian $45 · 10th to 90th $2 to $102Professionalmedian $10 · 10th to 90th $5 to $10
$2$5$10$20$50$100facility $45professional $10

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.32
Typical High
$9.77
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$7.08
Typical High
$15.49

Where Vermont sits

The same service costs 2.5 times more in Iowa 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· 5th of 51

$10.00

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.